LDS Family Services UT Provo Agency – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1669691499

LDS Family Services UT Provo Agency is a healthcare provider. based in Provo, Utah. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. 12208 (UT). The NPI Number for LDS Family Services UT Provo Agency is 1669691499

Main info

Organization
Name
LDS Family Services UT Provo Agency
NPI
1669691499
Phone
(801) 422-7620
Address
1190 N 900 E
Authorized Official
SHAWN A GILLIES AGENCY DIRECTOR LCSW
Enumeration Date
24 April 2007
Last Update Date
6 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for LDS Family Services UT Provo Agency

  • 1190 N 900 E

    204

    PROVO, UT 846043536

    Phone: (801) 422-7620

    Fax: (801) 422-0165

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84604)

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Reviews

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Frequently asked questions

What federal number belongs to LDS Family Services UT Provo Agency?
The federal identifier for LDS Family Services UT Provo Agency is NPI 1669691499.
Is LDS Family Services UT Provo Agency active in the national directory?
LDS Family Services UT Provo Agency's public NPI profile is in an active state.
What kind of provider is LDS Family Services UT Provo Agency?
The page reflects Mental Health Clinic/Center (Including Community Mental Health Center) for LDS Family Services UT Provo Agency. Clinical services aligned with this taxonomy classification.
Where is LDS Family Services UT Provo Agency's primary listing?
We display Provo, Utah because that is what the record indicates for LDS Family Services UT Provo Agency.
Is LDS Family Services UT Provo Agency a real provider?
This page reflects official NPPES data for NPI 1669691499. Always confirm identity and privileges with the practice and licensing boards.

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