=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316751639
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CREATIVE COMMUNICATORS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2025
-----------------------------------------------------
Last Update Date | 02/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2013 DEVONSHIRE DR STE 1450
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31904-6000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-464-1373
-----------------------------------------------------
Fax | 706-979-2986
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8245 LANTERN CT
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31904-1675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-464-1373
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SLP/OWNER
-----------------------------------------------------
Name | FELICIA ALFORD
-----------------------------------------------------
Credential | CCC-SLP
-----------------------------------------------------
Telephone | 706-464-1373
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------