Healthcare Provider Details
I. General information
NPI: 1154035301
Provider Name (Legal Business Name): LEARNING LEARNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2023
Last Update Date: 01/12/2023
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
777 EASTERN PKWY APT 1
BROOKLYN NY
11213-3430
US
IV. Provider business mailing address
793 MONTGOMERY ST
BROOKLYN NY
11213-5243
US
V. Phone/Fax
- Phone: 718-687-9294
- Fax:
- Phone: 718-687-9294
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOVID
LEIB
HALON
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 347-452-0670