Organization
LDS FAMILY SERVICES
Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services UT Centerville
Organization subpart
Yes
Provider details
NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MR. DENNIS D ASHTON LCSW (AGENCY DIRECTOR)
(801) 451-0475
Entity
Organization
Contact information
Practice address
94A EAST PAGES LANE, CENTERVILLE, UT 84014
(801) 451-0475
(801) 451-8249
Mailing address
94A EAST PAGES LANE, CENTERVILLE, UT 84014
(801) 451-0475
(801) 451-8249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058143
MEDICARE-PTAN
UT
05
—
000058143
—
UT
Enumeration date
01/26/2007
Last updated
06/09/2008
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