Provider Demographics
NPI:1538467253
Name:SCHLOSS, LAUREN ANGELA (MRC, LADC, CPC-INTER)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANGELA
Last Name:SCHLOSS
Suffix:
Gender:F
Credentials:MRC, LADC, CPC-INTER
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:ANGELA
Other - Last Name:SAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MRC, LADC, CPC-INTER
Mailing Address - Street 1:3132 MEDITERRANEAN DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2331
Mailing Address - Country:US
Mailing Address - Phone:702-523-0901
Mailing Address - Fax:
Practice Address - Street 1:2001 S JONES BLVD STE J
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3165
Practice Address - Country:US
Practice Address - Phone:702-523-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01782-L101YA0400X
NVCI0349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)