Provider Demographics
NPI:1760789549
Name:NAMHIE, CARLY NOELL (BS, RAS-I)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:NOELL
Last Name:NAMHIE
Suffix:
Gender:F
Credentials:BS, RAS-I
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:NOELL
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23981 SHERILTON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DESCANSO
Mailing Address - State:CA
Mailing Address - Zip Code:91916-9740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23981 SHERILTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:DESCANSO
Practice Address - State:CA
Practice Address - Zip Code:91916-9740
Practice Address - Country:US
Practice Address - Phone:619-445-0405
Practice Address - Fax:619-445-9028
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)