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LDS FAMILY SERVICES NPI 1407072762


NPI Information

NPI: 1407072762
Provider Name: LDS FAMILY SERVICES

Doing Business As: LDS FAMILY SERVICES INDIANA AGENCY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
550 CONGRESSIONAL BLVD
SUITE 125
CARMEL, IN
ZIP 46032
Phone: (317) 872-1749
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LDS FAMILY SERVICES is a mental health (including community mental health center) clinic center in Carmel, IN. LDS FAMILY SERVICES NPI is 1407072762. The provider is registered as an organization entity type.
The provider Is Doing Business As Lds Family Services Indiana Agency.

The provider's business location address is:

550 CONGRESSIONAL BLVD
SUITE 125
CARMEL, IN
ZIP 46032-609
Phone: (317) 872-1749
Fax: (317) 872-1756

The provider's authorized official is Matthew J Wilson .
The authorized official title is Counseling Supervisor and has the following contact phone number (317) 522-0224.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)169096933INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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