Lookout Mountain Community Services

LBN: Lookout Mountain Community Services
Lookout Mountain Community Services is an health care organization with primary practice located at 501 Mize Street , La Fayette GA 30728. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lookout Mountain Community Services can be contacted via phone (706) 638-5584, or through Ford, Thomas W. via phone (706) 638-5584.

Contact Information

Primary practice address
501 Mize Street La Fayette GA 30728
Phone: (706) 638-5584
Fax: (706) 638-5585
Website:
Map and Directions
Authorized official contact:
Name: Ford, Thomas W. PH.D.
Phone: (706) 638-5584

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1518039346
LBN Legal business name Lookout Mountain Community Services
DBA Doing business as
Authorized official Ford, Thomas W. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518039346 NPPES
Georgia MEDICAID 55002216A-21

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