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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