Create Mindful Moments, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATE MINDFUL MOMENTS, LLC

Practice address

454 Anderson Rd S Ste 402C
Rock Hill, SC 29730-3398

Phone

(803) 833-9792

NPI assigned

Oct 3, 2025

Last updated

Oct 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maya ScarbroughNPI 1457137481

Title

Owner

Phone

(803) 833-9792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maya Scarbrough, LMSW

  • Social Worker
  • Rock Hill, SC
  • NPI 1457137481
  Medicare reassignment NPD Authorized official
• Nicole Delissio

  • Clinical Social Worker
  • Rock Hill, SC
  • NPI 1083582100
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1336013143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 HAWFIELD FARMS RD APT 1922",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S STE 402C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303398",
            "telephone_number": "803-833-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE MINDFUL MOMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "SCARBROUGH",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-833-9792"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Michelle Crawford, M.D.
• Pamela Crawford
• Stacy Crawford
• Tessa Joanne Crawford, MS, LPC
• Charles Edward Creagh Jr., M.D.
• Adriel Crispo
• Iyahna Crockett
• Nicole Ann Cronquist, LPC
• Charles Albert Crosby Sr., DDS
• Christine P Crosby, PH.D

• Clinical Social Worker in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.