| Lookout Mountain Community Services | |
|
501 Mize St. Lafayette GA 30728 | |
| (706) 638-5591 | |
| (706) 639-2055 |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 Mize St., Lafayette, 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) 638-5584 | Lookout Mountain Community Services 501 Mize St. Lafayette GA 30728 Ph: (706) 638-5591 |
| NPI Number | 1386716124 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386716124 | NPI | - | NPPES |
| 00604513B-22 | 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: 1218 Chattanooga St., Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Shady Court, Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5585 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Mae Tucker Rd., Lafayette, GA 30728 Phone: 423-903-0236 | |
Lookout Mountain Community Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 New Hope Road, Lafayette, GA 30728 Phone: 706-764-1942 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 501 Mize St., Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 |