Healthcare Provider Details

I. General information

NPI: 1699603498
Provider Name (Legal Business Name): CENTER FOR LEARNING & CULTIVATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BULLSBORO DR STE A
NEWNAN GA
30263-1412
US

IV. Provider business mailing address

PO BOX 1144
SHARPSBURG GA
30277-0964
US

V. Phone/Fax

Practice location:
  • Phone: 800-309-0770
  • Fax:
Mailing address:
  • Phone: 800-309-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERIEKA ANGLIN
Title or Position: OWNER
Credential: RBT, BCBA
Phone: 800-309-0770