Healthcare Provider Details

I. General information

NPI: 1508721200
Provider Name (Legal Business Name): A DREAM FOR SPOILED KIDS LEARNING ACADEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 WALNUT ST
GREENSBORO NC
27405-6644
US

IV. Provider business mailing address

1203 WALNUT ST
GREENSBORO NC
27405-6644
US

V. Phone/Fax

Practice location:
  • Phone: 336-580-9204
  • Fax:
Mailing address:
  • Phone: 336-580-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASMINE HARRIS
Title or Position: DIRECTOR
Credential:
Phone: 336-580-9204