Carly Renee Lillis
Social Worker, Clinical in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982121703
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1982121703
- Entity type
- Individual (NPI-1)
- Name
- Carly Renee Lillis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2017
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | IC-2466 | NV | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
2235 E Flamingo Rd Ste 234Las Vegas, NV 89119-5197
Phone 702-331-5608
Mailing address
2235 E Flamingo Rd Ste 234Las Vegas, NV 89119-5197
Phone 702-331-5608
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