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Organization
LDS FAMILY SERVICES
Active
Organization
LDS FAMILY SERVICES
Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services TX Carrollton
Organization subpart
Yes
Provider details
NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
ERIC FERNELIUS LCSW (DIRECTOR)
(972) 242-2182
Entity
Organization
Contact information
Practice address
1100 W JACKSON RD, CARROLLTON, TX 75006-1316
(972) 242-2182
(972) 242-2932
Mailing address
1100 W JACKSON RD, CARROLLTON, TX 75006-1316
(972) 242-2182
(972) 242-2932
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003NF
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/28/2007
Last updated
06/06/2008
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