Healthcare Provider Details

I. General information

NPI: 1083873194
Provider Name (Legal Business Name): AMY CHRISTINE CARLING ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5615 S PECOS RD
LAS VEGAS NV
89120-1961
US

IV. Provider business mailing address

8600 STARBOARD DR APT 2132
LAS VEGAS NV
89117-3419
US

V. Phone/Fax

Practice location:
  • Phone: 702-736-8100
  • Fax:
Mailing address:
  • Phone: 702-373-6426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: