Healthcare Provider Details

I. General information

NPI: 1275268849
Provider Name (Legal Business Name): LEARNING LEARNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 MONTGOMERY ST
BROOKLYN NY
11213-5243
US

IV. Provider business mailing address

793 MONTGOMERY ST
BROOKLYN NY
11213-5243
US

V. Phone/Fax

Practice location:
  • Phone: 347-452-0670
  • Fax:
Mailing address:
  • Phone: 347-452-0670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DOVID L HALON
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW
Phone: 347-452-0670