Provider Demographics
NPI:1497002166
Name:CARROLL, JOSHUA (LMFT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:CARROLL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4928
Mailing Address - Country:US
Mailing Address - Phone:213-290-1820
Mailing Address - Fax:
Practice Address - Street 1:1314 WESTWOOD BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4928
Practice Address - Country:US
Practice Address - Phone:213-290-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-12
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist