Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Organization
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Active
Other names
Bridge Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GIBSON (REVENUE CYCLE MANAGER)
(423) 304-2847
Entity
Organization
Contact information
Practice address
148 LEWIS ST, SUMMERVILLE, GA 30747-1325
(706) 670-1085
(888) 251-2128
Mailing address
PO BOX 1027, LA FAYETTE, GA 30728-1027
(706) 670-1085
(888) 251-2128
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604513DR
—
GA
Enumeration date
06/17/2024
Last updated
06/17/2024
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