Healthcare Provider Details

I. General information

NPI: 1114450285
Provider Name (Legal Business Name): ILEARN & PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 MOUNT VERNON RD STE 200
ATLANTA GA
30338-3098
US

IV. Provider business mailing address

1050 CROWN POINTE PKWY STE 500
ATLANTA GA
30338-7702
US

V. Phone/Fax

Practice location:
  • Phone: 800-483-7318
  • Fax:
Mailing address:
  • Phone: 800-483-7318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. TIFFANY LENOIR
Title or Position: CEO
Credential:
Phone: 800-483-7318