| Dd Case Mgmt-comp | |
|
1427 Lee Clarkson Rd Chickamauga GA 30707-3344 | |
| (706) 638-5580 | |
| (706) 638-5445 |
| Full Name | Dd Case Mgmt-comp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1427 Lee Clarkson Rd, Chickamauga, Georgia |
| Authorized Official Name and Position | Alicia Michelle Howard (CREDENTIALING) |
| Authorized Official Contact | 7066701080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dd Case Mgmt-comp Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 638-5580 | Dd Case Mgmt-comp 1427 Lee Clarkson Rd Chickamauga GA 30707-3344 Ph: (706) 638-5580 |
| NPI Number | 1073843736 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073843736 | NPI | - | NPPES |
| 000604513BT | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Ancor North Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Lee Clarkson Rd, Chickamauga, GA 30707 Phone: 706-638-5580 Fax: 706-638-5445 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3440 Garretts Chapel Rd, Chickamauga, GA 30707 Phone: 706-375-6810 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Sherry Ct, Chickamauga, GA 30707 Phone: 706-638-5580 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Alex Dr, Chickamauga, GA 30707 Phone: 706-539-2228 Fax: 706-539-1521 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Lee Clarkson Rd, Chickamauga, GA 30707 Phone: 706-375-1209 Fax: 706-375-1260 | |
Behavioral Support Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Lee Clarkson Rd, Chickamauga, GA 30707 Phone: 706-638-5580 Fax: 706-638-5445 |