Provider Demographics
NPI:1598279127
Name:BALL, LAUREN M (LCSW LCADC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:BALL
Suffix:
Gender:F
Credentials:LCSW LCADC
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7310 SMOKE RANCH RD STE S
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0260
Mailing Address - Country:US
Mailing Address - Phone:702-608-6421
Mailing Address - Fax:
Practice Address - Street 1:7310 SMOKE RANCH RD STE S
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0260
Practice Address - Country:US
Practice Address - Phone:702-608-6421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-17
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8758-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical