Thea Bowman Leadership Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

THEA BOWMAN LEADERSHIP ACADEMY

Practice address

975 W 6TH Ave
Gary, IN 46402-1708

Phone

(219) 883-4826

Fax

(219) 883-1331

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gwendolyn G Adell, PH.D.

Title

Director

Phone

(219) 883-4826

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003020843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W 6TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021708",
            "telephone_number": "219-883-4826",
            "fax_number": "219-883-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W 6TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021708",
            "telephone_number": "219-883-4826",
            "fax_number": "219-883-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA BOWMAN LEADERSHIP ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADELL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-883-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Gary, IN
• Providers in Gary, IN by specialty
• Local Education Agency (LEA) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.