Healthcare Provider Details

I. General information

NPI: 1821308669
Provider Name (Legal Business Name): THE LEARNING TREE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4979 LOTT RD
EIGHT MILE AL
36613-9179
US

IV. Provider business mailing address

PO BOX 1306
SEMMES AL
36575-1306
US

V. Phone/Fax

Practice location:
  • Phone: 251-649-4420
  • Fax: 251-649-1164
Mailing address:
  • Phone: 251-649-4420
  • Fax: 251-649-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN D. ROGERS
Title or Position: OPERATIONS ADMINISTRATOR
Credential: M.S.
Phone: 251-649-4420