LDS FAMILY SERVICES NPI 1669691499

NPI Information

NPI: 1669691499
Provider Name: LDS FAMILY SERVICES

Doing Business As: LDS FAMILY SERVICES UT PROVO AGENCY

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1190 N 900 E
204
PROVO, UT
ZIP 84604
Phone: (801) 422-7620
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LDS FAMILY SERVICES is a mental health (including community mental health center) clinic center in Provo, UT. LDS FAMILY SERVICES NPI is 1669691499. The provider is registered as an organization entity type.
The provider Is Doing Business As Lds Family Services Ut Provo Agency.

The provider's business location address is:

1190 N 900 E
204
PROVO, UT
ZIP 84604-536
Phone: (801) 422-7620
Fax: (801) 422-0165

The provider's authorized official is Shawn A Gillies .
The authorized official title is Agency Director and has the following contact phone number (801) 422-7620.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 6/6/2008.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12208	UTAH	Yes

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

NPI Synchronization or Removal

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