| Lookout Mountain Community Services | |
|
16 Short Hollow Rd Trion GA 30753-1763 | |
| (706) 734-4265 | |
| Not Available |
| Full Name | Lookout Mountain Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Short Hollow Rd, Trion, 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) 638-5580 | Lookout Mountain Community Services 16 Short Hollow Rd Trion GA 30753-1763 Ph: (706) 734-4265 |
| NPI Number | 1013182773 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013182773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3678 Halls Valley Rd, Trion, GA 30753 Phone: 423-322-5364 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 Cummings Rd, Trion, GA 30753 Phone: 706-734-0989 |