LOOKOUT MOUNTAIN COMMUNITY SERVICE (NPI# 1992054423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992054423 |
| Entity Type | Organization |
| Organization Name | LOOKOUT MOUNTAIN COMMUNITY SERVICE |
| Other Organization Name | ELIZABETH KAY ANDERSON |
| Practice Address |
9234 Highway 151 La Fayette GA 30728-5124 |
| 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 | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | DR. TOM FORD (CEO) |
| Authorized Official Telephone | 7066385580 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Elizabeth Kay Anderson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780012880 | Lookout Mountain Community Service | Community/Behavioral Health | 284 Worthington Gap Rd, Rock Spring, GA 30739-2278 | 2013-10-29 |
| 1629316864 | Lookout Mountain Community Service | Community/Behavioral Health | 73 Sherry Ct, Chickamauga, GA 30707-1887 | 2013-01-23 |
| 1184962326 | Lookout Mountain Community Service | Community/Behavioral Health | 1929 Villanow Mill Creek Rd, La Fayette, GA 30728-5732 | 2013-01-23 |
| 1013284116 | Lookout Mountain Community Service | Community/Behavioral Health | 323 Spring Lane, Lyerly, GA 30730 | 2011-11-18 |
| 1790075679 | Lookout Mountain Community Service | Community/Behavioral Health | 341 Ellen St, Summerville, GA 30747-2025 | 2011-04-13 |
| 1801194113 | Lookout Mountain Community Service | Community/Behavioral Health | 74 Maple Dr, Summerville, GA 30747-1744 | 2011-03-10 |
| 1225357429 | Lookout Mountain Community Service | Community/Behavioral Health | 1626 Round Pond Rd, La Fayette, GA 30728-6217 | 2010-05-27 |
| 1861717878 | Lookout Mountain Community Service | Community/Behavioral Health | 221 Hammond St, Lyerly, GA 30730-3023 | 2010-04-01 |
| 1124343132 | Lookout Mountain Community Service | Community/Behavioral Health | 168 Oak Hill Dr, La Fayette, GA 30728-6284 | 2010-04-01 |
| 1538484621 | Lookout Mountain Community Service | Community/Behavioral Health | 1531 Highway 95, Rock Spring, GA 30739-2398 | 2010-03-31 |
| Street Address |
9234 HIGHWAY 151 |
| City | LA FAYETTE |
| State | GA |
| Zip Code | 30728-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701705 | Kay Anderson | Community/Behavioral Health | 9234 Highway 151, La Fayette, GA 30728-5124 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1083987481 | Krishawna Elaine Montgomery | Counselor | 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | 2012-02-15 |
| 1346518198 | William Randall Smith | Behavioral Analyst | 902 Daugherty Street, Lafayette, GA 30728 | 2011-12-08 |
| 1821321506 | John H Rockwell | Contractor | 143 Golden Oaks Dr, La Fayette, GA 30728 | 2009-09-11 |
| 1619113057 | Lookout Mountain Community Services | Community/Behavioral Health | 43 Shady Court, Lafayette, GA 30728 | 2009-01-06 |
| 1326212705 | Lookout Mountain Community Services | Community/Behavioral Health | 1218 Chattanooga St., Lafayette, GA 30728 | 2008-04-17 |
| 1649444084 | Lookout Mountain Community Services | Community/Behavioral Health | 29 Mae Tucker Rd., Lafayette, GA 30728 | 2008-04-16 |
| Find all providers in zip 30728 | ||||
| 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 |
|---|---|---|---|---|
| 1801433974 | Jimmie Denson | Community/Behavioral Health | 894 Kemp Rd, La Fayette, GA 30728-5016 | 2019-12-07 |
| 1568009967 | Candace Asher | Community/Behavioral Health | 3096 Bronco Rd, La Fayette, GA 30728-4448 | 2019-12-04 |
| 1124660030 | Keri Motley | Community/Behavioral Health | 2247 Dunwoody Rd, La Fayette, GA 30728-6025 | 2019-10-11 |
| 1851827257 | Tabatha Russell | Community/Behavioral Health | 212 Bandy Rd, La Fayette, GA 30728-4334 | 2017-05-04 |
| 1447786827 | Kim Cameron | Community/Behavioral Health | 908 Bomar St, La Fayette, GA 30728-3113 | 2017-05-04 |
| 1093241473 | Terrie Hix | Community/Behavioral Health | 305 Culberson Ave, La Fayette, GA 30728-2444 | 2017-05-04 |
| 1760918130 | Jessica Smith | Community/Behavioral Health | 3582 E Highway 136, La Fayette, GA 30728-6033 | 2017-05-04 |
| 1922534510 | Linda Farley | Community/Behavioral Health | Po Box 1027, La Fayette, GA 30728-1027 | 2017-05-03 |
| 1518418367 | Lookout Mountain Community Services | Community/Behavioral Health | 805 Moore Ave, La Fayette, GA 30728-3321 | 2016-10-17 |
| 1356899272 | Lookout Mountain Community Services | Community/Behavioral Health | 2508 Ringgold Rd, La Fayette, GA 30728-6324 | 2016-09-20 |
| Find all providers in LA FAYETTE | ||||
| City | LA FAYETTE |
| Zip Code | 30728 |
Please comment or provide details below to improve the information on LOOKOUT MOUNTAIN COMMUNITY SERVICE.
| 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.