Provider Demographics
NPI:1720627532
Name:LANTERN LEARNING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LANTERN LEARNING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-721-0405
Mailing Address - Street 1:936 SW 1ST AVENUE
Mailing Address - Street 2:#433
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4520
Mailing Address - Country:US
Mailing Address - Phone:805-252-7770
Mailing Address - Fax:877-794-7404
Practice Address - Street 1:936 SW 1ST AVE # 433
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4520
Practice Address - Country:US
Practice Address - Phone:805-252-7770
Practice Address - Fax:877-794-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty