MR. LOUIS EDWARD LACEY JR. (NPI# 1831535988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831535988 |
Entity Type | Individual |
Full Name | MR. LOUIS EDWARD LACEY JR. |
Credential | CADC-INTERN |
Practice Address |
1417 Las Vegas Blvd N Las Vegas NV 89101-1115 |
Practice Telephone | 7023853776 |
Practice Fax Number | 7028362154 |
Mailing Telephone | 7023853776 |
Mailing Fax Number | 7028362154 |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
1417 LAS VEGAS BLVD N |
City | LAS VEGAS |
State | NV |
Zip Code | 89101-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992007751 | Kimberly Ann Moore | Counselor | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2010-11-30 |
1598153330 | Meshayla Ennis | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2015-01-01 |
1699163675 | Ginger Lynn Davis | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2014-12-29 |
1548658636 | Crystina Louise Blaze | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2014-12-26 |
1073949434 | Linda Louise Stevens | Counselor | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-09-17 |
1457797508 | Shawn Joaquin Smith | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-16 |
1467898585 | Joyce Ann Holys | Psychologist | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
1790121945 | Chauncey Monte Johnson | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
1275979395 | Jennifer N Harris | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
1083050108 | Carol Malone | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
Find all providers in zip 89101 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
1972011492 | On A Cloud Therapy | Psychologist | 848 N Rainbow Blvd # 4818, Las Vegas, NV 89107-1103 | 2018-01-18 |
1669904876 | Rachael Sand | Psychologist | 12251 Avalon Canyon Ct, Las Vegas, NV 89138-4621 | 2017-03-28 |
1235674425 | Bobby Vavla, LLC | Psychologist | 8987 W Flamingo Rd Ste 105, Las Vegas, NV 89147-0437 | 2016-12-27 |
1497225601 | Iris Jackson | Psychologist | 7790 Canyon Diablo Rd, Las Vegas, NV 89179-2068 | 2018-11-29 |
1396286761 | Cory Vanderhill | Psychologist | 2150 N Tenaya Way, 1212, Las Vegas, NV 89128-0402 | 2017-03-17 |
1467898585 | Joyce Ann Holys | Psychologist | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
1982040002 | Bridget Ann Imbellino | Psychologist | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124650015 | Alexandra Wilcox | Psychologist | 322 Wintercress Dr, Henderson, NV 89002-5137 | 2020-02-07 |
1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
1477791713 | Sharon L. Steele | Psychologist | 979 Melba Dr, Reno, NV 89503-2730 | 2009-01-24 |
1295993863 | Jeffrey Christopher Wood | Psychologist | 555 California Ave, Boulder City, NV 89005-2757 | 2008-05-29 |
1356470108 | Glenda Lee Allen | Psychologist | 835 Rock Blvd, Sparks, NV 89431 | 2007-03-05 |
1922056415 | The Life Change Center | Psychologist | 130 Vine St, Reno, NV 89503-5546 | 2006-05-05 |
1205389129 | The Life Change Center | Psychologist | 1755 Sullivan Ln, Sparks, NV 89431-2815 | 2016-07-27 |
1841743762 | The Life Change Center | Psychologist | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2016-07-27 |
1073978151 | The Life Change Center | Psychologist | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2015-12-16 |
Please comment or provide details below to improve the information on MR. LOUIS EDWARD LACEY JR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.