Individual
CARLY MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15600 BOVIS WAY APT 1311, FORT WORTH, TX 76177-1436
(732) 890-7525
Mailing address
15600 BOVIS WAY APT 1311, FORT WORTH, TX 76177-1436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
91960
TX
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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