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LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.
NPI 1124253679
Community/Behavioral Health in Loganville, GA

Active since May 27, 2009
678 TOM BREWER RD, LOGANVILLE, GA 30052(770) 554-3599(770) 554-3514 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loganville Community Ministry Village, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. (NPI 1124253679) is a healthcare organization registered as a community/behavioral health in Loganville, Georgia and active in the NPI registry since May 2009. The organization lists Chet Allen Fowler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124253679
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.
Location Address678 TOM BREWER RDLoganville, GA 30052-4005
Mailing Address678 Tom Brewer RdLoganville, GA 30052-4005 · (770) 554-3599 · Fax (770) 554-3514
Phone(770) 554-3599
Fax(770) 554-3514
Organization SubpartNo
Authorized OfficialChet Allen FowlerExecutive Director · (770) 554-3599
Enumeration DateMay 27, 2009
✔ NPI 1124253679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in GA · LPC005585
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
678 TOM BREWER RD, Loganville, GA 30052
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA ROSE MURPHY LPC
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3514
SHANNON THOME-STAPLETON LPC
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3599
MOLLY HUGHES
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3599
MR. CHESTER ALLEN FOWLER LPC
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3599
VENETIA T JORDAN MS, NCC, LPC
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 554-3599
JENE DENISE BUGENHAGEN LPC, NCC
Counselor (Professional)
678 TOM BREWER RD
LOGANVILLE, GA 30052
Gwinnett County (770) 354-7073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loganville Community Ministry Village, Inc.'s NPI number?

The NPI number for Loganville Community Ministry Village, Inc. is 1124253679. It was assigned to this organization in the NPPES registry on May 27, 2009.

Where is Loganville Community Ministry Village, Inc. located?

Loganville Community Ministry Village, Inc. is located at 678 Tom Brewer Rd, Loganville, GA 30052. The listed phone number is (770) 554-3599.

What is Loganville Community Ministry Village, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Loganville Community Ministry Village, Inc. was last updated on May 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.