Organization Active NPI

The Creative Palace

  • Mental Health Counselor
  • Augusta, GA
National Provider Identifier
1528974003
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.