Provider Demographics
NPI:1538503354
Name:EJM LEARNING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:EJM LEARNING SOLUTIONS, INC.
Other - Org Name:LEARNINGRX BIRMINGHAM-SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT, EX. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:GIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-2070
Mailing Address - Street 1:4851 CAHABA RIVER ROAD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35243
Mailing Address - Country:US
Mailing Address - Phone:205-970-2070
Mailing Address - Fax:205-536-6553
Practice Address - Street 1:4851 CAHABA RIVER ROAD
Practice Address - Street 2:SUITE 129
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35243
Practice Address - Country:US
Practice Address - Phone:205-970-2070
Practice Address - Fax:205-536-6553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty