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NPI Code Detail

MEDICARE: LDS FAMILY SERVICES

MEDICARE: LDS FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor870489265AAZ

General Provider Information

NPI Number : 1134347149
Entity Type Code : Organization
Provider Name (Legal Business Name) : LDS FAMILY SERVICES
Provider Business Mailing Address
First Line : 235 S EL DORADO CIR
Second Line :
City : MESA
State : AZ
Zip : 85202-1044
Country : US
Telephone Number : 480-968-2995
Fax Number :
Provider Business Practice Location Address
First Line : 235 S EL DORADO CIR
Second Line :
City : MESA
State : AZ
Zip : 85202-1044
Country : US
Telephone Number : 480-968-2995
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MATTHEW WATSON
Credential : LCSW
Telephone Number : 480-968-2995
Provider Enumeration Date : 04/23/2007
Last Update Date : 06/03/2008

Similar Medicare Providers

1730244070 — MR. BRADLEY CLAYTON BARNETT LMFT
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax:
1093830192 — MR. MATTHEW WATSON L.C.S.W.
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax: 480-967-4103
1639290273 — MS. CAROL CLAUDIA RAMSAY-SCOTT LCSW
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax:
1891912275 — MRS. CAMI MICHELLE COVEY-DOUCET L.A.C.
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax: 480-967-4103
1104044817 — ANITA K MARPLE LAC
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax:
1871711523 — MRS. MICHELLE MAYBERRY COOLEY MSW, LCSW
Practice Location Address:
235 S EL DORADO CIR
MESA, AZ
85202-1044
Practice Phone: 480-968-2995
Practice Fax:

Directions to “LDS FAMILY SERVICES ” Practice Location

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