Provider Demographics
NPI:1871047647
Name:ADVANCED CREATIVE SOLUTIONS
Entity type:Organization
Organization Name:ADVANCED CREATIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-307-0043
Mailing Address - Street 1:517 BENJAMIN WAY STE 400
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-4659
Mailing Address - Country:US
Mailing Address - Phone:706-237-8303
Mailing Address - Fax:888-563-0473
Practice Address - Street 1:517 BENJAMIN WAY STE 400
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-4659
Practice Address - Country:US
Practice Address - Phone:706-237-8303
Practice Address - Fax:888-563-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
GA=========251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty