DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)497TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10003NFOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1780711309
Entity Type Code : Organization
Provider Name (Legal Business Name) : LDS FAMILY SERVICES
Provider Business Mailing Address
First Line : 1100 W JACKSON RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1316
Country : US
Telephone Number : 972-242-2182
Fax Number : 972-242-2932
Provider Business Practice Location Address
First Line : 1100 W JACKSON RD
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1316
Country : US
Telephone Number : 972-242-2182
Fax Number : 972-242-2932
Authorized Official
Title or Position : DIRECTOR
Name : ERIC FERNELIUS
Credential : LCSW
Telephone Number : 972-242-2182
Provider Enumeration Date : 02/28/2007
Last Update Date : 06/06/2008

Similar Medicare Providers

1659432847 — LDS FAMILY SERVICES
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 972-242-2182
Practice Fax: 972-242-9232
1265583967 — JANE ANN WILLIAMS MS
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 972-242-2182
Practice Fax:
1689728255 — MS. JODY LEE EBERT MS LPC
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 972-242-2182
Practice Fax:
1861616724 — ERIC OAKES LARSON LCSW
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 972-242-2182
Practice Fax: 972-242-2932
1184848608 — ROBBIN TODD HOLLEY LPC
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 972-242-2182
Practice Fax: 972-242-2932
1437444502 — MRS. MICHELLE PARKIN HEPWORTH MAC, LMFTA
Practice Location Address:
1100 W JACKSON RD
CARROLLTON, TX
75006-1316
Practice Phone: 817-876-9824
Practice Fax: 972-242-2932

Directions to “LDS FAMILY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.