Healthcare Provider Details

I. General information

NPI: 1912820143
Provider Name (Legal Business Name): GLOBAL ACADEMIC AND ENRICHMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6512 CLARK CREEK TRL
WHITSETT NC
27377-9358
US

IV. Provider business mailing address

6512 CLARK CREEK TRL
WHITSETT NC
27377-9358
US

V. Phone/Fax

Practice location:
  • Phone: 813-997-2397
  • Fax: 813-997-2397
Mailing address:
  • Phone: 813-997-2397
  • Fax: 813-997-2397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY HAYNES
Title or Position: CEO
Credential: PHD
Phone: 813-997-2397