Organization
ELIZABETH CARROLL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CARROLL MFT-INTERN (MANAGER)
(773) 458-5526
Entity
Organization
Contact information
Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 438-7800
Mailing address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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