Provider Demographics
NPI:1114357084
Name:LEARNING DREAMS LLC
Entity Type:Organization
Organization Name:LEARNING DREAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KORI
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:CARSON DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, MS
Authorized Official - Phone:810-422-8013
Mailing Address - Street 1:1091 CREEKWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-1500
Mailing Address - Country:US
Mailing Address - Phone:810-391-2923
Mailing Address - Fax:810-391-2968
Practice Address - Street 1:1091 CREEKWOOD TRL
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1500
Practice Address - Country:US
Practice Address - Phone:810-391-2923
Practice Address - Fax:810-391-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty