LOOKOUT MOUNTAIN COMMUNITY SERVICE (NPI# 1780012880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780012880 |
| Entity Type | Organization |
| Organization Name | LOOKOUT MOUNTAIN COMMUNITY SERVICE |
| Other Organization Name | AMBER CRUISE |
| Practice Address |
284 Worthington Gap Rd Rock Spring GA 30739-2278 |
| Mailing Address |
Po Box 1027 La Fayette GA 30728-1027 |
| Practice Telephone | 7066385580 |
| Practice Fax Number | 7066385445 |
| Mailing Telephone | 7066385580 |
| Mailing Fax Number | 7066385545 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. TOM FORD (CEO) |
| Authorized Official Telephone | 7066385584 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Amber Cruise | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629316864 | Lookout Mountain Community Service | Community/Behavioral Health | 73 Sherry Ct, Chickamauga, GA 30707-1887 | 2013-01-23 |
| 1184962326 | Lookout Mountain Community Service | Community/Behavioral Health | 1929 Villanow Mill Creek Rd, La Fayette, GA 30728-5732 | 2013-01-23 |
| 1992054423 | Lookout Mountain Community Service | Community/Behavioral Health | 9234 Highway 151, La Fayette, GA 30728-5124 | 2012-08-30 |
| 1013284116 | Lookout Mountain Community Service | Community/Behavioral Health | 323 Spring Lane, Lyerly, GA 30730 | 2011-11-18 |
| 1790075679 | Lookout Mountain Community Service | Community/Behavioral Health | 341 Ellen St, Summerville, GA 30747-2025 | 2011-04-13 |
| 1801194113 | Lookout Mountain Community Service | Community/Behavioral Health | 74 Maple Dr, Summerville, GA 30747-1744 | 2011-03-10 |
| 1225357429 | Lookout Mountain Community Service | Community/Behavioral Health | 1626 Round Pond Rd, La Fayette, GA 30728-6217 | 2010-05-27 |
| 1861717878 | Lookout Mountain Community Service | Community/Behavioral Health | 221 Hammond St, Lyerly, GA 30730-3023 | 2010-04-01 |
| 1124343132 | Lookout Mountain Community Service | Community/Behavioral Health | 168 Oak Hill Dr, La Fayette, GA 30728-6284 | 2010-04-01 |
| 1538484621 | Lookout Mountain Community Service | Community/Behavioral Health | 1531 Highway 95, Rock Spring, GA 30739-2398 | 2010-03-31 |
| Street Address |
284 WORTHINGTON GAP RD |
| City | ROCK SPRING |
| State | GA |
| Zip Code | 30739-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1992058960 | Highland Rivers Community Service Board | Community/Behavioral Health | 2510 Kay Conley Rd, Rock Spring, GA 30739-2073 | 2012-10-16 |
| 1124360185 | Stacey Michelle Foley | Occupational Therapy Assistant | 100 Autumn Crest Trl, Rock Spring, GA 30739-2095 | 2013-03-17 |
| 1285732115 | North Georgia Vision Center Inc | Technician/Technologist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2006-09-21 |
| 1952300832 | Stephen Brent Clark | Optometrist | 8390 North Hwy 27, Rock Spring, GA 30739-2103 | 2005-07-21 |
| 1952569279 | North Georgia Vision Center Inc | Optometrist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2008-05-23 |
| 1568455541 | Michael E Wilson | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2005-08-25 |
| 1811167455 | Primary Medical Consultants, LLC | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2008-03-11 |
| 1801978929 | Jimmy Simpson Foundation, Inc. | Clinic/Center | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2006-10-19 |
| 1922124775 | Jimmy Simpson Foundation, Inc. | Custodial Care Facility | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2007-03-22 |
| Find all providers in zip 30739 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908075 | Stacey Gilbreath | Community/Behavioral Health | 1116 Bicentennial Trl, Rock Spring, GA 30739-2314 | 2017-05-04 |
| 1992058960 | Highland Rivers Community Service Board | Community/Behavioral Health | 2510 Kay Conley Rd, Rock Spring, GA 30739-2073 | 2012-10-16 |
| 1174896179 | Northwest Georgia Baptist Association | Community/Behavioral Health | 63 Pin Oak Dr, Rock Spring, GA 30739-2328 | 2012-02-22 |
| 1538484621 | Lookout Mountain Community Service | Community/Behavioral Health | 1531 Highway 95, Rock Spring, GA 30739-2398 | 2010-03-31 |
| 1487828000 | Lookout Mountain Community Services | Community/Behavioral Health | 177 Oak Meadow Dr, Rock Spring, GA 30739-2490 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | ROCK SPRING |
| Zip Code | 30739 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.