Healthcare Provider Details

I. General information

NPI: 1679490544
Provider Name (Legal Business Name): PRE-SCHOLAR LEARNING ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 BROADWAY ST
PADUCAH KY
42001-7110
US

IV. Provider business mailing address

2122 BROADWAY ST
PADUCAH KY
42001-7110
US

V. Phone/Fax

Practice location:
  • Phone: 270-331-6743
  • Fax: 270-933-1205
Mailing address:
  • Phone: 270-331-6743
  • Fax: 270-933-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LEAANN GAINES
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 270-558-8368