MEDICARE: CARLY GILMORE AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	114770

General Provider Information

NPI Number	:	1891542270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY GILMORE AMFT

Provider Business Mailing Address
First Line	:	PO BOX 10541
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91510-0541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10737 RIVERSIDE DR
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2324
Country	:	US
Telephone Number	:	800-726-3890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/02/2024

Similar Medicare Providers

1003874702 — PROHEALTH ADVANCED IMAGING MEDICAL GROUP, INC.
Practice Location Address:

10767 RIVERSIDE DR
NORTH HOLLYWOOD, CA
91602-2324

Practice Phone: 818-301-6700
Practice Fax: 818-301-6701

1801831466 — DR. BABAK SHAYESTEHFAR M.D.
Practice Location Address:

10767 RIVERSIDE DR
NORTH HOLLYWOOD, CA
91602-2324

Practice Phone: 818-301-6700
Practice Fax: 818-301-6701

1275560096 — STEPHANIE YU-HUE CHIU M.D.
Practice Location Address:

10767 RIVERSIDE DR
NORTH HOLLYWOOD, CA
91602-2324

Practice Phone: 818-301-6700
Practice Fax: 818-301-6701

1669402228 — MR. JEFFREY I KORCHEK M.D
Practice Location Address:

10749 RIVERSIDE DR
N HOLLYWOOD, CA
91602-2324

Practice Phone: 818-506-0999
Practice Fax:

1184000390 — MAYRA LEONOR DIAZ LMFT
Practice Location Address:

10737 RIVERSIDE DR
NORTH HOLLYWOOD, CA
91602-2324

Practice Phone: 818-473-0945
Practice Fax:

1437533494 — MARINE ABADZHYAN A
Practice Location Address:

12156 WIXOM ST
NORTH HOLLYWOOD, CA
91605-2324

Practice Phone: 818-284-0311
Practice Fax:

Directions to “ CARLY GILMORE AMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.