Provider Demographics
NPI:1215087788
Name:LEARNING PERSPECTIVES, INCORPORATED
Entity type:Organization
Organization Name:LEARNING PERSPECTIVES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-362-9474
Mailing Address - Street 1:104-D EAST VICTORIA COURT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5754
Mailing Address - Country:US
Mailing Address - Phone:252-439-0070
Mailing Address - Fax:252-758-0066
Practice Address - Street 1:104-D EAST VICTORIA COURT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5754
Practice Address - Country:US
Practice Address - Phone:252-439-0070
Practice Address - Fax:252-758-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300342BMedicaid