Lookout Mountain Community Service

Organization Active NPI Community/Behavioral Health Agency · Rossville, GA

NPI 1962677633 · NPPES record last updated Apr 24, 2008

Key facts

NPI
1962677633
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
LOOKOUT MOUNTAIN COMMUNITY SERVICE
Practice address
405 Glenn Wade Dr
Rossville, GA 30741-1176
Phone
(423) 635-6191
NPI assigned
Apr 24, 2008
Organization subpart
No

Authorized official

Name
Deborah Farris
Title
Billing/Account Manager
Phone
(706) 638-5580

Corporate family (same tax ID) 16

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

405 Glenn Wade Dr
Rossville, GA 30741-1176

Mailing address

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

Other providers in Rossville, GA

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

Sources for this page

Verify at the official NPI Registry.