Provider Demographics
NPI:1417433871
Name:LIGHTHOUSE ACADEMIES OF PINE BLUFF
Entity Type:Organization
Organization Name:LIGHTHOUSE ACADEMIES OF PINE BLUFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENISHA
Authorized Official - Middle Name:BROADWAY
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-258-9584
Mailing Address - Street 1:708 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-4002
Mailing Address - Country:US
Mailing Address - Phone:870-534-0217
Mailing Address - Fax:
Practice Address - Street 1:708 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-4002
Practice Address - Country:US
Practice Address - Phone:870-534-0217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)