LAVATTA CARLETTE PALM NPI 1053717991

NPI Information

  • NPI: 1053717991
  • Provider Name: LAVATTA CARLETTE PALM
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 6080 S FORT APACHE RD STE 105
    LAS VEGAS, NV
    ZIP 89148
  • Phone: (702) 588-8600

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NPI Details

Lavatta Carlette Palm is an addiction (substance use disorder) counselor in Las Vegas, NV. Lavatta Carlette Palm NPI is 1053717991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6080 S FORT APACHE RD STE 105
LAS VEGAS, NV
ZIP 89148-616
Phone: (702) 588-8600

The enumeration date for this NPI number is 11/4/2014 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerCHW2-5007NEVADANo
2101YA0400XCounselorAddiction (Substance Use Disorder)07537-1NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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