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Lookout Mountain Community Servcie

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

NPI 1881940484 · NPPES record last updated Aug 1, 2012

Key facts

NPI
1881940484
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
LOOKOUT MOUNTAIN COMMUNITY SERVCIE
Practice address
3341 Lake Howard Rd
La Fayette, GA 30728-6251
Phone
(706) 638-5580
Fax
(706) 638-5445
NPI assigned
Aug 1, 2012
Organization subpart
No

Authorized official

Name
Dr. Tom Ford, PHD
Title
Ceo
Phone
(706) 638-5580

Corporate family (same tax ID) 23

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

3341 Lake Howard Rd
La Fayette, GA 30728-6251

Mailing address

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

Other names

  • JAMIE SMITH Doing business as

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.