Provider Demographics
NPI:1063669083
Name:MOHLER, CAROLYN T (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:T
Last Name:MOHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 E WARM SPRINGS RD
Mailing Address - Street 2:STE. 112
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4549
Mailing Address - Country:US
Mailing Address - Phone:702-428-7651
Mailing Address - Fax:702-568-5030
Practice Address - Street 1:1820 E WARM SPRINGS RD
Practice Address - Street 2:STE. 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4549
Practice Address - Country:US
Practice Address - Phone:702-428-7651
Practice Address - Fax:702-568-5030
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2719-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical