| Organization Name: | GEORGIA MOUNTAINS COMMUNITY SERVICES |
| NPI Number: | 1114988268 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN R TUCKER (BILLING MANAGER) |
| Mailing Address: | 4331 Thurmond Tanner Rd Flowery Branch |
| State: | GA US |
| Postal Code: | 305422829 |
| Phone Number: | 6785135700 |
| Fax Number: | 6785135836 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |