Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loganville Community Ministry Village, Inc

Organization Community/Behavioral Health Agency · NPI 1124253679

Loganville Community Ministry Village, Inc is a Community/Behavioral Health Agency in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

678 Tom Brewer Rd
Loganville, GA 30052-4005
Phone: (770) 554-3599
Fax: (770) 554-3514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LPC005585 (GA)

Record details

NPI number1124253679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chet Fowler — Executive Director · (770) 554-3599
NPI enumeratedMay 27, 2009
Last updated in NPPESMay 27, 2009
Mailing address678 Tom Brewer Rd, Loganville, GA 30052-4005

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