| Lookout Mountain Community Services | |
|
501 Mize Street La Fayette GA 30728 | |
| (706) 638-5584 | |
| (706) 638-5585 |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Mize Street, La Fayette, Georgia |
| Authorized Official Name and Position | Thomas W. Ford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7066385584 |
| 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) 638-5584 | Lookout Mountain Community Services 501 Mize Street La Fayette GA 30728 Ph: (706) 638-5584 |
| NPI Number | 1518039346 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518039346 | NPI | - | NPPES |
| 55002216A-21 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Jones Rd, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2448 Corinth Rd, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5585 | |
Marcus Logan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 Oak Hill Dr, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5580 | |
Linda Dale Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1929 Villanow Mill Creek Rd, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Kaye Horne-host Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Northwest Georgia Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N Main St, La Fayette, GA 30728 Phone: 706-638-2339 Fax: 706-638-7400 |