LDS Family Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

12208 Issued in UT

Legal business name

LDS FAMILY SERVICES

Doing business as

LDS Family Services UT Provo Agency

Practice address

1190 N 900 E
204
Provo, UT 84604-3536

Phone

(801) 422-7620

Fax

(801) 422-0165

NPI assigned

Apr 24, 2007

Organization subpart

Yes

Parent organization

LDS FAMILY SERVICESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawn A Gillies, LCSW

Title

Agency Director

Phone

(801) 422-7620

Specialties & licenses 1

Addresses

Other names 1

• LDS Family Services UT Provo Agency Doing business as

Part of

Robert D Smith PHD

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milinda K Hudnall, LCSW

  • Clinical Social Worker
  • Provo, UT
  • NPI 1558537332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1669691499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N 900 E",
            "address_2": "204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043536",
            "telephone_number": "801-422-7620",
            "fax_number": "801-422-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N 900 E",
            "address_2": "204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043536",
            "telephone_number": "801-422-7620",
            "fax_number": "801-422-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "GILLIES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "801-422-7620",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "12208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services UT Provo Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nzinga Lasana Amali Lawson
• Jodie Layton, RDMS
• Mallory Layton
• Sheila Lazenby
• LDS Family Services
• Kathy Le
• Eric B Leach, PA-C
• Kara Nichole Leavitt, NNP-BC
• Lisa Michelle Leavitt, PHD
• Sharon Leavitt

• Mental Health Clinic/Center (Including Community Mental Health Center) in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.