Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Lateria Bannerman, MS, LCADC, CPC-I

Individual provider Counselor · NPI 1699470294

Tracy Lateria Bannerman, MS, LCADC, CPC-I is a Counselor in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2023.

Licensed in
NV
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone: (702) 486-7865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CI5354 (NV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 07366-LCI (NV)

Record details

NPI number1699470294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCADC , CPC-I
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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