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General NPI Number Information
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NPI Number | 1730083916
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Entity Type | Individual
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Provider Name | CARLY L KIEL AMFT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 12626 RIVERSIDE DR STE 409
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3451
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Country | US
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Telephone | 424-785-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 LYMAN PL APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90027-5409
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Country | US
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Telephone | 901-355-1455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 165179
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NULL
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