Organization
ETERNAL BLISS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUINDRA CARROLL LCSW (OWNER)
(817) 476-0317
Entity
Organization
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(817) 476-0317
Mailing address
4204 BENT OAKS DR, ARLINGTON, TX 76001-5157
(817) 476-0317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
10/23/2021
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