Tbaj Ventures LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TBAJ VENTURES LLC

Doing business as

Kintsugi Neuroworks LLC

Practice address

570 Colonial Park Dr Ste 306
Roswell, GA 30075-3770

Phone

(470) 461-4417

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By 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

Taylor Creati

Title

Owner

Phone

(470) 461-4417

Specialties & licenses 1

Addresses

Other names 2

• Kintsugi Neuroworks LLC Doing business as
• Creati Concepts LLC Former legal business name

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1760387120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 COLONIAL PARK DR STE 306",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753770",
            "telephone_number": "470-461-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 COLONIAL PARK DR STE 306",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753770",
            "telephone_number": "470-461-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBAJ VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "CREATI",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-461-4417"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kintsugi Neuroworks LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creati Concepts LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Taylor, M.A. CCC-SLP
• McKensie Renee Taylor, MT-BC
• Michael Taylor
• Sarah Kalin Taylor, LPC
• Scott Mitchell Taylor, LCSW
• TBK Wellness Spa
• McKenzie Grace Techo, SLP
• Richard W Teets, DMD
• Hamid V. Tehrani, M.D.
• Allyse Teltser, LCSW

• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.