Organization · Type 2 NPI

LDS Family Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Brooklyn Center, MN

NPI number 1043363567 Active

Practice location

6120 Earle Brown Dr Ste 210
Brooklyn Center, MN 55430-4107

Fax (763) 560-1288

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Patricia Louise Van de Veer, LPC, LPCCMental Health Counselor Brooklyn Center, MN NPI 1437383056

Other mental health clinic/center (including community mental health center) providers in Brooklyn Center

See all in Brooklyn Center →

NPI record

NPI: 1043363567
Entity type: Organization (Type 2)
Issued: Jan 19, 2007
Last updated: Jun 6, 2008
Status: Active
Subpart: Yes of LDS Family Services

Other names

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LDS Family Services Minnesota Agency · doing business as

Authorized official

Mr. Mark T. Hales, LICSW
Director
(763) 560-0900

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043363567

LDS Family Services's National Provider Identifier is 1043363567, issued on Jan 19, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jun 6, 2008.