| Lookout Mountain Community Services | |
|
200 Mitchell Rd Ft Oglethorpe GA 30742-3660 | |
| (706) 638-5580 | |
| Not Available |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Mitchell Rd, Ft Oglethorpe, 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 |
|---|---|
| Lookout Mountain Community Services Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 635-5580 | Lookout Mountain Community Services 200 Mitchell Rd Ft Oglethorpe GA 30742-3660 Ph: (706) 638-5580 |
| NPI Number | 1275245466 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275245466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Vitalis Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3091 Battlefield Pkwy, Ft Oglethorpe, GA 30742 Phone: 423-902-9667 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 City Hall Dr, Ft Oglethorpe, GA 30742 Phone: 706-638-5580 |