Eternal Bliss, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ETERNAL BLISS, LLC

Practice address

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206

Phone

(817) 476-0317

NPI assigned

Apr 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laquindra Carroll, LCSWNPI 1194316083

Title

Owner

Phone

(817) 986-6159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laquindra Carroll, LCSW

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1194316083
  Medicare reassignment NPD Authorized official
• Joann Tejumola Baly, LCSW

  • Clinical Social Worker
  • Katy, TX
  • NPI 1174223754
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1942883905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 BENT OAKS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015157",
            "telephone_number": "817-476-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "817-476-0317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 W Green Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760138301",
            "country_code": "US",
            "telephone_number": "817-476-0317",
            "fax_number": "888-333-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETERNAL BLISS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LAQUINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-986-6159",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obed S Estrada
• Salem Estreich
• John Tambe Etaka, PHARM D
• Nicholas E Etaka, PHARMD
• Yannick Etape
• Ethical Family Healthcare & Wound Experts Inc
• Raphna Etienne
• Seta Seta Etim
• Josephine Nzima Etta, APRN-PMHNP
• Gary Lee Etter, MD

• Community/Behavioral Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.