Provider Demographics
NPI:1689162331
Name:PEARLS ACADEMY
Entity Type:Organization
Organization Name:PEARLS ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:STUKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-889-1977
Mailing Address - Street 1:1220 E LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3544
Mailing Address - Country:US
Mailing Address - Phone:484-889-1977
Mailing Address - Fax:
Practice Address - Street 1:1220 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3544
Practice Address - Country:US
Practice Address - Phone:484-889-1977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty