LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. – Community/Behavioral Health Agency, NPI 1124253679

LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. is a healthcare provider. based in Loganville, Georgia. specializing in Community/Behavioral Health Agency. The organization holds a License No. LPC005585 (GA). The NPI Number for LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. is 1124253679

Main info

Organization
Name
LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.
NPI
1124253679
Phone
(770) 554-3599
Address
678 TOM BREWER RD
Authorized Official
MR. CHET ALLEN FOWLER EXECUTIVE DIRECTOR LPC
Enumeration Date
27 May 2009
Last Update Date
27 May 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.

  • 678, Tom Brewer Road, Loganville, Walton County, Georgia, 30052, United States

    LOGANVILLE, GA 300524005

    Phone: (770) 554-3599

    Fax: (770) 554-3514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30052)

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Frequently asked questions

How do I look up LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. by NPI?
Use NPI 1124253679 when you need to reference LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. in forms, claims, or directories.
Is LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. active in the national directory?
LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.'s public NPI profile is in an active state.
What field does LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. work in?
You can think of LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC. as practicing within Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What location metadata exists for LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.?
The page summarizes Loganville, Georgia for LOGANVILLE COMMUNITY MINISTRY VILLAGE, INC.; expand the address list for detail.
What if Loganville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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