Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Maple Bloom, CADC-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770473811

Lisa Maple Bloom, CADC-I is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2025

Practice location Address checks out

916 N Main St
Las Vegas, NV 89101-1931
Phone: (702) 202-6647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 08072-I (NV)

Record details

NPI number1770473811
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-I
Sole proprietorYes
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 4, 2025

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