OrganizationActive
Lds Family Services
NPI 1669691499 · Mental Health Clinic/Center (Including Community Mental Health Center) · Provo, UT
Provider details
- NPI number
- 1669691499
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Lds Family Services
- Organization subpart
- Yes
- Authorized official
- Shawn Gillies, Agency Director(801) 422-7620
- License
- 12208 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 12208 (UT)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1190 N 900 E
204
Provo, UT 84604-3536
Phone: (801) 422-7620
Fax: (801) 422-0165
Street-level locationGet directions
Mailing address
1190 N 900 E
Provo, UT 84604-3536
Other names (DBA / former)
- Doing business as
- Lds Family Services Ut Provo Agency
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2008-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.