Individual provider · Type 1 NPI

Tracy Lateria Bannerman, MS, LCADC, CPC-I

Counselor · Las Vegas, NV

NPI number 1699470294 Active

Practice location

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

500 E Warm Springs Rd Ste 100
Las Vegas, NV 89119-4345

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCI5354 (NV)
Addiction (Substance Use Disorder) Counselor 101YA0400X07366-LCI (NV)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699470294

Tracy Lateria Bannerman, MS, LCADC, CPC-I's National Provider Identifier is 1699470294, issued on Apr 3, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 14, 2025.