LOOKOUT MOUNTAIN COMMUNITY SERVICE (NPI# 1962677633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962677633 |
| Entity Type | Organization |
| Organization Name | LOOKOUT MOUNTAIN COMMUNITY SERVICE |
| Practice Address |
405 Glenn Wade Dr Rossville GA 30741-1176 |
| Mailing Address |
Po Box 1027 La Fayette GA 30728-1027 |
| Practice Telephone | 4236356191 |
| Mailing Telephone | 7066385580 |
| Mailing Fax Number | 7066385445 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DEBORAH FARRIS (BILLING/ACCOUNT MANAGER) |
| Authorized Official Telephone | 7066385580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780012880 | Lookout Mountain Community Service | Community/Behavioral Health | 284 Worthington Gap Rd, Rock Spring, GA 30739-2278 | 2013-10-29 |
| 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 |
| Street Address |
405 GLENN WADE DR |
| City | ROSSVILLE |
| State | GA |
| Zip Code | 30741-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1013194943 | Kathleen Marie Powell | Physical Therapist | 1425 Mc Farland Ave, Rossville, GA 30741 | 2008-01-22 |
| 1871668020 | Jerry Vance Grimmitt | Pharmacist | 785 Chickamauga Av, Longley Pharmacy, Rossville, GA 30741 | 2006-11-22 |
| 1831163898 | Jose R Justiniano-ayala | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2006-02-15 |
| 1235389230 | Michael Robert Mccoy | Internal Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2008-09-25 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| 1033142930 | Robert Alan Stultz | Physician Assistant | 118 Howard St, Rossville, GA 30741-1314 | 2006-07-07 |
| 1902950462 | Leisha Harrell Espy | Chiropractor | 100 E Gordon Ave, Rossville, GA 30741-1318 | 2007-01-22 |
| 1073687596 | Rocky Top Pharmacy Inc | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2006-11-17 |
| 1578088977 | Daniel Garrett | Pharmacist | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2017-08-07 |
| Find all providers in zip 30741 | ||||
| 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 |
|---|---|---|---|---|
| 1518415439 | Lookout Mountain Community Services | Community/Behavioral Health | 2009 Burma Rd, Rossville, GA 30741-3813 | 2016-09-20 |
| 1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
| 1982732285 | Lookout Mountain Community Services | Community/Behavioral Health | 2106 Gail St, Rossville, GA 30741-3828 | 2007-03-01 |
| 1114448164 | Renee Smith | Community/Behavioral Health | 2009 Burma Rd, Rossville, GA 30741-3813 | 2017-06-29 |
| 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 | ||||
Please comment or provide details below to improve the information on LOOKOUT MOUNTAIN COMMUNITY SERVICE.
| 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.