Lookout Mountain Community Sevices

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

044472 Issued in GA

Legal business name

LOOKOUT MOUNTAIN COMMUNITY SEVICES

Practice address

2921 Mitchell CV NE
Atlanta, GA 30319-2695

Phone

(404) 467-7670

Fax

(706) 639-2055

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Rjichard Edward Grant, M.D.

Title

Physician

Phone

(404) 467-7670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356405773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 MITCHELL CV NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192695",
            "telephone_number": "404-467-7670",
            "fax_number": "706-639-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MITCHELL CV NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192695",
            "telephone_number": "404-467-7670",
            "fax_number": "706-639-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT MOUNTAIN COMMUNITY SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "RJICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-467-7670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "044472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• 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.