# ALEX CARROLL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720841992
- **Authorized official:** EMILY CLIBER CPC (BILLING SPECIALIST)
- **Authorized official phone:** (860) 287-2065

## Contact information

- **Practice address:** 906 N PARHAM RD STE 201, HENRICO, VA 23229-6456
- **Practice address phone:** (703) 736-1018
- **Mailing address:** 906 N PARHAM RD STE 201, HENRICO, VA 23229-6456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024