Healthcare Provider Details

I. General information

NPI: 1760305072
Provider Name (Legal Business Name): CURIOUS CUBS LEARNING TREE, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 JAMES ST
ADEL GA
31620-1504
US

IV. Provider business mailing address

3887 KARALINE CIR
VALDOSTA GA
31605-7767
US

V. Phone/Fax

Practice location:
  • Phone: 904-372-3066
  • Fax:
Mailing address:
  • Phone: 123-456-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER CHEREE HOCKENSMITH
Title or Position: EXECUTIVE DIRECTOR
Credential: CMA
Phone: 123-456-7897