Organization
ONESOURCE LEARNING & DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
2300 W PARK PLACE BLVD STE 100, STONE MOUNTAIN, GA 30087-3561
(404) 965-1499
Mailing address
4002 HIGHWAY 78 W STE 530-347, SNELLVILLE, GA 30039-7915
(404) 965-1499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/10/2019
Last updated
04/17/2026
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