| Onesource Learning & Development Center | |
|
2165 W Park Ct Ste I Stone Mountain GA 30087-3564 | |
| (770) 558-3920 | |
| (404) 891-4788 |
| Full Name | Onesource Learning & Development Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2165 W Park Ct Ste I, Stone Mountain, Georgia |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9124843879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onesource Learning & Development Center 4002 Highway 78 W Ste 530-347 Snellville GA 30039-7915 Ph: (770) 558-3920 | Onesource Learning & Development Center 2165 W Park Ct Ste I Stone Mountain GA 30087-3564 Ph: (770) 558-3920 |
| NPI Number | 1073150934 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073150934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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