Provider Demographics
NPI:1619576154
Name:LOUNDS, WILLIAM GERALD (106S00000X)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GERALD
Last Name:LOUNDS
Suffix:
Gender:M
Credentials:106S00000X
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 VILLAGE CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6438
Mailing Address - Country:US
Mailing Address - Phone:725-735-2700
Mailing Address - Fax:
Practice Address - Street 1:1707 VILLAGE CENTER CIR STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-0515
Practice Address - Country:US
Practice Address - Phone:725-725-2700
Practice Address - Fax:725-725-2703
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-20-141224106S00000X
NVCI5237101YM0800X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health