LOOKOUT COMMUNITY SERVICE (NPI# 1043549330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043549330 |
| Entity Type | Organization |
| Organization Name | LOOKOUT COMMUNITY SERVICE |
| Other Organization Name | SUCCESSFUL OUTCOMES-COMP |
| Practice Address |
525 Tomahawk Trl Woodstock GA 30188-1741 |
| Mailing Address |
Po Box 1027 La Fayette GA 30728-1027 |
| Practice Telephone | 7066385580 |
| Practice Fax Number | 7066385445 |
| Mailing Telephone | 7066385580 |
| Mailing Fax Number | 7066385445 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | DR. TOM FORD (CEO) |
| Authorized Official Telephone | 7066385580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000604513DJ | 05 |
| Other Name | Type Code |
|---|---|
| Successful Outcomes-Comp | Other Name - Individual/Organization |
| Street Address |
525 TOMAHAWK TRL |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487984134 | Lookout Mountain Community Service | Community/Behavioral Health | 525 Tomahawk Trl, Woodstock, GA 30188-1741 | 2009-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731910 | Puzzled Hearts LLC | Community/Behavioral Health | 10001 Village Green Dr Ste B, Woodstock, MD 21163-1148 | 2019-07-09 |
| 1174084479 | Hope Family Counseling Services, LLC | Community/Behavioral Health | 27473a Highway 5, Woodstock, AL 35188-3238 | 2019-03-28 |
| 1750691325 | Pioneer Center for Human Services | Community/Behavioral Health | 14411 Kishwaukee Valley Road, Woodstock, IL 60098 | 2010-10-18 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1942458781 | Mchenry Co. Latino Coalition | Community/Behavioral Health | 110 S Johnson St, Suite 212, Woodstock, IL 60098-3259 | 2008-09-05 |
| 1083861512 | The Thresholds | Community/Behavioral Health | 403 N Madison St, Woodstock, IL 60098-3330 | 2008-08-27 |
| 1255588729 | The Thresholds | Community/Behavioral Health | 3300 Castle Rd, Woodstock, IL 60098-9233 | 2008-08-26 |
| 1659577641 | Turning Point Inc. | Community/Behavioral Health | 11019 Route 14, Woodstock, IL 60098 | 2007-06-26 |
| 1174642607 | Focus Counseling and Training, Inc. | Community/Behavioral Health | 9876 Main Street, Suite 100, Woodstock, GA 30188 | 2007-03-28 |
| 1184111536 | The Thresholds | Community/Behavioral Health | 2030 N Seminary Ave, Woodstock, IL 60098-2626 | 2018-04-20 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.