Individual
MS. BEVERLY VALENCIA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-6639
Mailing address
825 PRISCILLA LN, DESOTO, TX 75115-1401
(214) 697-4105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7505
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7505
TX
Other
Enumeration date
10/02/2020
Last updated
12/08/2025
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