ELLEN ST CLA
NPI 1790075679
Community/Behavioral Health in Summerville, GA

Q: What is Lookout Mountain Community Service's NPI number?

The NPI number for Lookout Mountain Community Service is 1790075679. It was assigned to this organization in the NPPES registry on April 13, 2011. The provider is doing business as Ellen St Cla.

Q: What is Lookout Mountain Community Service's specialty?

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

Active since April 13, 2011

341 ELLEN ST, SUMMERVILLE, GA 30747(706) 638-5580(706) 638-5445 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ellen St Cla NPPES

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

ELLEN ST CLA (NPI 1790075679) is a healthcare organization registered as a community/behavioral health in Summerville, Georgia and active in the NPI registry since April 2011. The organization lists Tom Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790075679

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLOOKOUT MOUNTAIN COMMUNITY SERVICE

Location Address341 ELLEN STSummerville, GA 30747-2025

Mailing AddressPo Box 1027La Fayette, GA 30728-1027 · (706) 638-5580 · Fax (706) 638-5445

Phone(706) 638-5580

Fax(706) 638-5445

Organization SubpartNo

Authorized OfficialTom FordCeo · (706) 638-5580

Enumeration DateApril 13, 2011

✔ NPI 1790075679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

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.

341 ELLEN ST, Summerville, GA 30747

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Other Names 1

Doing Business AsEllen St Cla

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 Lookout Mountain Community Service's NPI number?

The NPI number for Lookout Mountain Community Service is 1790075679. It was assigned to this organization in the NPPES registry on April 13, 2011. The provider is doing business as Ellen St Cla.

Where is Lookout Mountain Community Service located?

Lookout Mountain Community Service is located at 341 Ellen St, Summerville, GA 30747. The listed phone number is (706) 638-5580.

What is Lookout Mountain Community Service'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 Lookout Mountain Community Service was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.