| Lookout Mountain Community Services | |
|
311 Cornerstone Dr Ringgold GA 30736-2995 | |
| (706) 638-5580 | |
| Not Available |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 311 Cornerstone Dr, Ringgold, 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) 670-1080 | Lookout Mountain Community Services 311 Cornerstone Dr Ringgold GA 30736-2995 Ph: (706) 638-5580 |
| NPI Number | 1629714712 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 04/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629714712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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