Provider Demographics
NPI:1497027346
Name:ALL CHILDREN'S ACADEMY
Entity Type:Organization
Organization Name:ALL CHILDREN'S ACADEMY
Other - Org Name:ALL CHILDREN'S THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MSE, CCC-SLP
Authorized Official - Phone:501-224-1418
Mailing Address - Street 1:12410 CANTRELL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1704
Mailing Address - Country:US
Mailing Address - Phone:501-224-1418
Mailing Address - Fax:501-224-1917
Practice Address - Street 1:12410 CANTRELL RD STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1704
Practice Address - Country:US
Practice Address - Phone:501-224-1418
Practice Address - Fax:501-224-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR470235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR190186742Medicaid