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LDS FAMILY SERVICES NPI 1295953693


NPI Information

NPI: 1295953693
Provider Name: LDS FAMILY SERVICES

Doing Business As: LDS FAMILY SERVICES GEORGIA AGENCY

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4823 N ROYAL ATLANTA DR
TUCKER, GA
ZIP 30084
Phone: (770) 939-2121
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LDS FAMILY SERVICES is a mental health (including community mental health center) clinic center in Tucker, GA. LDS FAMILY SERVICES NPI is 1295953693. The provider is registered as an organization entity type.
The provider Is Doing Business As Lds Family Services Georgia Agency.

The provider's business location address is:

4823 N ROYAL ATLANTA DR
TUCKER, GA
ZIP 30084-806
Phone: (770) 939-2121
Fax: (770) 908-5784

The provider's authorized official is Christopher Young .
The authorized official title is Director and has the following contact phone number (770) 939-2121.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 6/4/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CP0000040003GEORGIAYes

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: 5/5/2024

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