Provider Demographics
NPI:1225503915
Name:KARVO, SHYLAH (LSW)
Entity type:Individual
Prefix:
First Name:SHYLAH
Middle Name:
Last Name:KARVO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:SHYLAH
Other - Middle Name:
Other - Last Name:REUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1746 LITTLE CROW AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-4866
Mailing Address - Country:US
Mailing Address - Phone:702-449-2195
Mailing Address - Fax:
Practice Address - Street 1:1746 LITTLE CROW AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-4866
Practice Address - Country:US
Practice Address - Phone:702-449-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5847-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker