| Host Home-laura Dotson | |
|
2442 Back Valley Rd Lyerly GA 30730-5030 | |
| (706) 638-5580 | |
| (706) 638-5445 |
| Full Name | Host Home-laura Dotson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2442 Back Valley Rd, Lyerly, Georgia |
| Authorized Official Name and Position | Tom Ford (CEO) |
| Authorized Official Contact | 7066385580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Host Home-laura Dotson Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 638-5580 | Host Home-laura Dotson 2442 Back Valley Rd Lyerly GA 30730-5030 Ph: (706) 638-5580 |
| NPI Number | 1578893228 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578893228 | NPI | - | NPPES |
| 000604513DL | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Peggy Dotson Host Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Spring Lane, Lyerly, GA 30730 Phone: 706-638-5580 Fax: 706-638-5445 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2296 Back Valley Rd, Lyerly, GA 30730 Phone: 706-895-2414 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2445 Back Valley Rd, Uphill Springs Pch, Lyerly, GA 30730 Phone: 706-895-2144 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Spring Lane, Lyerly, GA 30730 Phone: 706-638-5580 | |
Gail Dotson Host Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Hammond St, Lyerly, GA 30730 Phone: 706-638-5580 Fax: 706-638-5445 |