Active NPI
The Creative Palace
- Mental Health Counselor
- Augusta, GA
National Provider Identifier
1528974003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE CREATIVE PALACE
- Practice address
- 2994 Galahad Way
Augusta, GA 30909-9150 - Phone
- (706) 267-6037
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latisha Hart
- Title
- Founder/Ceo
- Phone
- (706) 267-6037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2994 Galahad Way
Augusta, GA 30909-9150
Mailing address
2994 Galahad Way
Augusta, GA 30909-9150
Phone (706) 267-6037
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1528974003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2994 GALAHAD WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099150",
"telephone_number": "706-267-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2994 GALAHAD WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099150",
"telephone_number": "706-267-6037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CREATIVE PALACE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "LATISHA",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "706-267-6037"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Joseph Michael Thames, BCABA
- Hannah Faith Tharp, PA-C
- The Athletic Standard, LLC
- The Center for Change
- The Counselors Suite, LLC
- The Family Y, Young Men's Christian Association/Ywco of the Csra, Inc.
- The Foot and Ankle Group PC
- The Home Care Group LLC (Visiting Angels)
- The Imaging Center
- The Interventional Spine and Pain Management Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.