Provider Demographics
NPI:1639456114
Name:PRESSLER, LAUREN (MI4052)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PRESSLER
Suffix:
Gender:F
Credentials:MI4052
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 BLUEGILL WAY UNIT D
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2136
Mailing Address - Country:US
Mailing Address - Phone:702-373-5025
Mailing Address - Fax:
Practice Address - Street 1:4160 S PECOS RD STE 17
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5027
Practice Address - Country:US
Practice Address - Phone:702-396-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4052106H00000X
CA85681106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist