| Lookout Mountain Community Services | |
|
12580 North Main St. Trenton GA 30752 | |
| (706) 657-7501 | |
| (706) 657-8005 |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12580 North Main St., Trenton, 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 12580 North Main St. Trenton GA 30752 Ph: (706) 657-7501 |
| NPI Number | 1124190962 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124190962 | NPI | - | NPPES |
| 00604513H-42 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Ancor West - Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12580 N Main St, Suite B, Trenton, GA 30752 Phone: 706-638-5580 Fax: 706-638-5445 | |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900 Highway 301, Trenton, GA 30752 Phone: 706-270-5033 Fax: 706-370-7749 | |
Ancor West-now Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12580 N Main St, Suite B, Trenton, GA 30752 Phone: 706-638-5580 Fax: 706-638-5445 | |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Workman Rd, Trenton, GA 30752 Phone: 706-270-5033 Fax: 706-370-7749 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 568 Poplar St, Trenton, GA 30752 Phone: 706-638-5580 Fax: 706-638-5585 |