Provider Demographics
NPI:1659952299
Name:WORLD LEADERSHIP ACADEMY INC
Entity Type:Organization
Organization Name:WORLD LEADERSHIP ACADEMY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-329-8882
Mailing Address - Street 1:255 E LONG ST APT 106
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1976
Mailing Address - Country:US
Mailing Address - Phone:225-329-8882
Mailing Address - Fax:
Practice Address - Street 1:1577 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1804
Practice Address - Country:US
Practice Address - Phone:347-853-1368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty