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NPI Code Detail

MEDICARE: THE CHILDREN'S LEARNING HUB, LLC

MEDICARE: THE CHILDREN'S LEARNING HUB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261QD1600XDevelopmental Disabilities Clinic/Center
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1104783414
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CHILDREN'S LEARNING HUB, LLC
Provider Business Mailing Address
First Line : 4129 CORINTH CHURCH RD
Second Line :
City : LAKE PARK
State : GA
Zip : 31636-2921
Country : US
Telephone Number : 229-464-2608
Fax Number :
Provider Business Practice Location Address
First Line : 4129 CORINTH CHURCH RD
Second Line :
City : LAKE PARK
State : GA
Zip : 31636-2921
Country : US
Telephone Number : 229-464-2608
Fax Number :
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : MS. CHELSEA WILLIAMS
Credential : ED.S.
Telephone Number : 229-464-2608
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “THE CHILDREN'S LEARNING HUB, LLC ” Practice Location

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