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LDS FAMILY SERVICES NPI 1457476475


NPI Information

NPI: 1457476475
Provider Name: LDS FAMILY SERVICES

Doing Business As: LDS FAMILY SERVICES CA SAN JOSE

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6840 VIA DEL ORO
SUITE 225
SAN JOSE, CA
ZIP 95119
Phone: (408) 361-0133
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LDS FAMILY SERVICES is a mental health (including community mental health center) clinic center in San Jose, CA. LDS FAMILY SERVICES NPI is 1457476475. The provider is registered as an organization entity type.
The provider Is Doing Business As Lds Family Services Ca San Jose.

The provider's business location address is:

6840 VIA DEL ORO
SUITE 225
SAN JOSE, CA
ZIP 95119-357
Phone: (408) 361-0133
Fax: (408) 361-0132

The provider's authorized official is Kenneth B. Stewart .
The authorized official title is Counseling Group Manager and has the following contact phone number (916) 682-6530.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 1/12/2010.


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)CALIFORNIAYes

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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