{
"Npi": {
"NPI": "1699603498",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTER FOR LEARNING & CULTIVATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1144",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHARPSBURG",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30277-0964",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-309-0770",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "19 BULLSBORO DR STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWNAN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30263-1412",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-309-0770",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2026",
"LastUpdateDate": "05/12/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANGLIN",
"AuthorizedOfficialFirstName": "SHERIEKA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RBT, BCBA",
"AuthorizedOfficialTelephoneNumber": "800-309-0770",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251300000X",
"TaxonomyName": "Local Education Agency (LEA)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}