Organization · Type 2 NPI

LDS Family Services

Community/Behavioral Health Agency · Idaho Falls, ID

NPI number 1073662052 Active

Practice location

1600 John Adams Pkwy, Suite 102
Idaho Falls, ID 83401-4300

Fax (208) 529-6506

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	19643 (ID)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

9 other providers at this address

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NPI record

NPI: 1073662052
Entity type: Organization (Type 2)
Issued: Jan 9, 2007
Last updated: Oct 7, 2016
Status: Active
Subpart: Yes of LDS Family Services

Other names

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LDS Family Services Id Idaho Falls · doing business as

Authorized official

Mr. Claigh H Jensen, LCSW
Counseling Manager
(208) 529-5276

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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 1073662052

LDS Family Services's National Provider Identifier is 1073662052, issued on Jan 9, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 7, 2016.