| Lds Family Services Indiana Agency | |
|
550 Congressional Blvd Suite 125 Carmel IN 46032-5609 | |
| (317) 872-1749 | |
| (317) 872-1756 |
| Full Name | Lds Family Services Indiana Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 550 Congressional Blvd, Carmel, Indiana |
| Authorized Official Name and Position | Matthew J Wilson (COUNSELING SUPERVISOR) |
| Authorized Official Contact | 3175220224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Indiana Agency 550 Congressional Blvd Suite 125 Carmel IN 46032-5609 Ph: (317) 872-1749 | Lds Family Services Indiana Agency 550 Congressional Blvd Suite 125 Carmel IN 46032-5609 Ph: (317) 872-1749 |
| NPI Number | 1407072762 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407072762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 169096933 (Indiana) | Primary |
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