NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services Louisiana Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Slidell, LA
National Provider Identifier
1962578906
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
11854 Issued in LA
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services Louisiana Agency
Practice address
480 Robert Blvd
Slidell, LA 70458-1345
Phone
(985) 649-2774
Fax
(985) 649-2738
NPI assigned
Nov 28, 2006
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Douglas E. Gardner, LCSW
Title
Agency Director
Phone
(985) 649-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 11854 LA Primary

Addresses

Primary practice location

480 Robert Blvd
Slidell, LA 70458-1345

Mailing address

480 Robert Blvd
Slidell, LA 70458-1345
Phone (985) 649-2774

Other names 1

  • LDS Family Services Louisiana Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert D Smith PHD46 organizations share this tax ID, including this one
Part of
Robert D Smith PHD

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

480 Robert Blvd
Slidell, LA 70458
Phone (985) 649-2774

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962578906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581345",
            "telephone_number": "985-649-2774",
            "fax_number": "985-649-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581345",
            "telephone_number": "985-649-2774",
            "fax_number": "985-649-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "985-649-2774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "LA",
            "license": "11854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services Louisiana Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.