Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY LATERIA BANNERMAN, MS, LCADC, CPC-I
ActiveTRACY LATERIA BANNERMAN, MS, LCADC, CPC-I is a Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1699470294 is currently active in the NPPES registry. Verify at CMS.
Counselor · LAS VEGAS, NV
Registration Details
- NPI Number
- 1699470294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2023 (3.3633404825695 yrs)
- Last Updated
- Oct 14, 2025
- Licenses
-
CI5354 (NV)07366-LCI (NV)
Practice Information
- Address
-
1901 S JONES BLVDLAS VEGAS, NV, 891461260Browse NV providers · Browse ZIP 89146
- Phone
- 7024867865
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Counselor Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH M. HERBST | — | 1659322907 |
| MR. DAVID NOEL ROWE | — | 1760433452 |
| KATIE PUJANAUSKI | MGSW | 1548212731 |
| ALTHEA FENNELL | — | 1639121817 |
| SARAH J PAULSEN | — | 1265484075 |
| MR. ROGER A GRINNELL | — | 1801849518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.