Provider Demographics
NPI:1861679367
Name:LEARNING SERVICES CORPORATION
Entity Type:Organization
Organization Name:LEARNING SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-235-4700
Mailing Address - Street 1:131 LANGLEY DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6909
Mailing Address - Country:US
Mailing Address - Phone:470-235-4700
Mailing Address - Fax:866-268-1711
Practice Address - Street 1:1259 W 13200 S
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-6128
Practice Address - Country:US
Practice Address - Phone:801-254-6295
Practice Address - Fax:801-254-5634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEARNING SERVICES CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-28
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X, 320700000X
UT13347320600000X, 320700000X, 320800000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0650093Medicaid