Provider Demographics
NPI:1417422502
Name:KNAUSS, LOTTIE (MFTI)
Entity Type:Individual
Prefix:
First Name:LOTTIE
Middle Name:
Last Name:KNAUSS
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 W SAHARA AVE STE K
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3167
Mailing Address - Country:US
Mailing Address - Phone:702-433-4357
Mailing Address - Fax:
Practice Address - Street 1:5825 W SAHARA AVE STE K
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3167
Practice Address - Country:US
Practice Address - Phone:702-433-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0825106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist