Provider Demographics
NPI:1174759757
Name:LEAKE COUNTY SCHOOL DISTRICT
Entity type:Organization
Organization Name:LEAKE COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:601-267-8667
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-0478
Mailing Address - Country:US
Mailing Address - Phone:601-267-8667
Mailing Address - Fax:601-267-5903
Practice Address - Street 1:201 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-3745
Practice Address - Country:US
Practice Address - Phone:601-267-8667
Practice Address - Fax:601-267-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)