Organization
LDS FAMILY SERVICES
Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services Indiana Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. MATTHEW J WILSON LCSW (COUNSELING SUPERVISOR)
(317) 522-0224
Entity
Organization
Contact information
Practice address
550 CONGRESSIONAL BLVD, SUITE 125, CARMEL, IN 46032-5609
(317) 872-1749
(317) 872-1756
Mailing address
550 CONGRESSIONAL BLVD, SUITE 125, CARMEL, IN 46032-5609
(317) 872-1749
(317) 872-1756
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
169096933
IN
Other
Enumeration date
04/17/2007
Last updated
09/14/2009
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