Kay Anderson

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

NPI 1740701705 · NPPES record last updated Jun 29, 2017

Key facts

NPI
1740701705
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
9234 Highway 151
La Fayette, GA 30728-5124
Phone
(423) 991-0034
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Community Service Community/Behavioral Health Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

9234 Highway 151
La Fayette, GA 30728-5124

Mailing address

9234 Highway 151
La Fayette, GA 30728-5124

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.