| Lds Family Services Tx Carrollton | |
|
1100 W Jackson Rd Carrollton TX 75006-1316 | |
| (972) 242-2182 | |
| (972) 242-2932 |
| Full Name | Lds Family Services Tx Carrollton |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1100 W Jackson Rd, Carrollton, Texas |
| Authorized Official Name and Position | Eric Fernelius (DIRECTOR) |
| Authorized Official Contact | 9722422182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Tx Carrollton 1100 W Jackson Rd Carrollton TX 75006-1316 Ph: (972) 242-2182 | Lds Family Services Tx Carrollton 1100 W Jackson Rd Carrollton TX 75006-1316 Ph: (972) 242-2182 |
| NPI Number | 1780711309 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780711309 | NPI | - | NPPES |
| 0003NF | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 497 (Texas) | Primary |
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