LOOKOUT MOUNTAIN COMMUNITY SERVICES


Address: 573 Southern Rd, Chickamauga, GA 30707-4215
Phone: 7066385580

LOOKOUT MOUNTAIN COMMUNITY SERVICES (NPI# 1750529251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750529251
Entity Type Organization
Organization Name LOOKOUT MOUNTAIN COMMUNITY SERVICES
Practice Address 573 Southern Rd
Chickamauga
GA 30707-4215
Mailing Address Po Box 1027
La Fayette
GA 30728-1027
Practice Telephone 7066385580
Practice Fax Number 7066385585
Mailing Telephone 7066385580
Mailing Fax Number 7066385585
Enumeration Date 2009-01-22
Last Update Date 2009-01-22
Authorized Official Name DEBORAH FARRIS (BILLING & AR MANAGER)
Authorized Official Telephone 7066385580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 000604513DA 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518418367 Lookout Mountain Community Services Community/Behavioral Health 805 Moore Ave, La Fayette, GA 30728-3321 2016-10-17
1518415439 Lookout Mountain Community Services Community/Behavioral Health 2009 Burma Rd, Rossville, GA 30741-3813 2016-09-20
1356899272 Lookout Mountain Community Services Community/Behavioral Health 2508 Ringgold Rd, La Fayette, GA 30728-6324 2016-09-20
1912245150 Lookout Mountain Community Services Community/Behavioral Health 377 Wildewood Trl, Chickamauga, GA 30707-3490 2013-01-23
1831321058 Lookout Mountain Community Services Community/Behavioral Health 100 Savannah Ln, Summerville, GA 30747-7055 2009-08-21
1245478288 Lookout Mountain Community Services Community/Behavioral Health 207 Millsap Rd, La Fayette, GA 30728-6339 2009-01-29
1942448444 Lookout Mountain Community Services Community/Behavioral Health 568 Poplar St, Trenton, GA 30752-2511 2009-01-22
1396983896 Lookout Mountain Community Services Community/Behavioral Health 600 Cannon Rd, La Fayette, GA 30728-6262 2009-01-22
1104064609 Lookout Mountain Community Services Community/Behavioral Health 2448 Corinth Rd, La Fayette, GA 30728-3869 2009-01-22
1619113057 Lookout Mountain Community Services Community/Behavioral Health 43 Shady Court, Lafayette, GA 30728 2009-01-06

Office Location

Street Address 573 SOUTHERN RD
City CHICKAMAUGA
State GA
Zip Code 30707-4215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881677847 Paul E Ballinger Physician Assistant 101 Kington Lane, Chickamauga, GA 30707 2005-11-23
1235358938 Tawanda G Adeshina Family Medicine 101 Kington Lane, Chickamauga, GA 30707 2007-04-24
1053638874 Jerry Labron Ragon Contractor 8 W 8th St, Chickamauga, GA 30707-1308 2010-05-04
1831261387 Phillip David Talley Pharmacist 114 Cove Rd, Chickamauga, GA 30707-1407 2006-11-13
1760606966 Karen Leanne Ledford Pharmacist 114 Cove Rd, Chickamauga, GA 30707-1407 2007-04-12
1821131996 Chickamauga Drug Store, LLC Pharmacy 114 Cove Rd, Chickamauga, GA 30707-1407 2007-02-15
1073548707 Douglas M Graydon Dentist 107 Gordon St, Chickamauga, GA 30707-1454 2006-07-11
1245372101 Caroline Faith Brown Dentist 107 Gordon St, Chickamauga, GA 30707-1454 2007-02-13
1417483850 Teresa Cash Community/Behavioral Health 16 Euclid Ave, Apt S-2, Chickamauga, GA 30707-1565 2017-05-04
1033416623 Chickamauga City Schools Local Education Agency (LEA) 402 Cove Rd, Chickamauga, GA 30707-1614 2011-02-17
Find all providers in zip 30707

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629316864 Lookout Mountain Community Service Community/Behavioral Health 73 Sherry Ct, Chickamauga, GA 30707-1887 2013-01-23
1912245150 Lookout Mountain Community Services Community/Behavioral Health 377 Wildewood Trl, Chickamauga, GA 30707-3490 2013-01-23
1750556411 Lookout Mountain Community Services Community/Behavioral Health 987 Prospect Rd, Chickamauga, GA 30707-4231 2008-04-24
1215102975 Lookout Mountain Community Services Community/Behavioral Health 3440 Garretts Chapel Rd, Chickamauga, GA 30707-3705 2008-04-24
1598939670 Lookout Mountain Community Services Community/Behavioral Health 532 Southern Rd, Chickamauga, GA 30707-4215 2008-04-18
1528132750 Lookout Mountain Community Services Community/Behavioral Health 107 Alex Dr, Chickamauga, GA 30707-4154 2006-11-20
1851463962 Lookout Mountain Community Services Community/Behavioral Health 1427 Lee Clarkson Rd, Chickamauga, GA 30707-3344 2006-11-14
1194246140 Rhonda Whitaker Community/Behavioral Health 73 Sherry Ct, Chickamauga, GA 30707-1887 2017-06-29
1417483850 Teresa Cash Community/Behavioral Health 16 Euclid Ave, Apt S-2, Chickamauga, GA 30707-1565 2017-05-04
1669923322 Lookout Mountain Community Services Community/Behavioral Health 73 Sherry Ct, Chickamauga, GA 30707-1887 2016-10-18
Find all providers in CHICKAMAUGA

Competitor

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City CHICKAMAUGA
Zip Code 30707

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Dataset Information

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.

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