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Lookout Mountain Community Services

Organization Active NPI Community/Behavioral Health Agency · La Fayette, GA

NPI 1306011069 · NPPES record last updated Feb 10, 2023

Key facts

NPI
1306011069
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Practice address
138 Ballard Dr
La Fayette, GA 30728-6255
Phone
(706) 638-3279
Fax
(706) 639-5299
NPI assigned
Apr 24, 2008
Organization subpart
No

Authorized official

Name
Alicia Michelle Howard
Title
Credentialing
Phone
(706) 670-1080

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Lookout Mountain Community Services (107 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

138 Ballard Dr
La Fayette, GA 30728-6255

Mailing address

PO Box 1027
La Fayette, GA 30728-1027
Phone (706) 638-5580

Other providers in La Fayette, GA

All providers in La Fayette, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.