Organization · Type 2 NPI

LDS Family Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Carmel, IN

NPI number 1407072762 Active

Practice location

550 Congressional Blvd, Suite 125
Carmel, IN 46032-5609

Fax (317) 872-1756

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	169096933 (IN)

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

3 other providers at this address

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Inner Core Health & Wellness LLCHealth & Wellness Coach Carmel, IN NPI 1144157611
Adeola Mustapha, MDPsychiatry Physician Carmel, IN NPI 1093956765

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

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NPI record

NPI: 1407072762
Entity type: Organization (Type 2)
Issued: Apr 17, 2007
Last updated: Sep 14, 2009
Status: Active
Subpart: Yes of LDS Family Services

Other names

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LDS Family Services Indiana Agency · doing business as

Authorized official

Mr. Matthew J Wilson, LCSW
Counseling Supervisor
(317) 522-0224

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 1407072762

LDS Family Services's National Provider Identifier is 1407072762, issued on Apr 17, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Carmel, IN. The record was last updated on Sep 14, 2009.