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Contact Information

LOOKOUT MOUNTAIN COMMUNITY SERVICES
501 MIZE ST.
LAFAYETTE, GA30728
 Phone: 706-638-5580
 Fax: 706-638-5445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for LOOKOUT MOUNTAIN COMMUNITY SERVICES

NPI Number 1790782431
LBN Legal business name LOOKOUT MOUNTAIN COMMUNITY SERVICES
Authorized official THOMAS FORD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
GA Medicaid 00604513B
GA Medicaid 00604513C
GA Medicaid 00604513D
GA Medicaid 00604513E
GA Medicaid 00604513G
GA Medicaid 00604513H
GA Medicaid 00604513Z
GA Medicaid 00810059A
GA Medicaid 00810059G
GA Medicaid 0604513U
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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