person
Dr. Richard L Travis, EDDLMHCCAPP
Mental Health Counselor in Fort Lauderdale, Florida
NPI 1700996907

Richard L Travis is a Mental Health Counselor based in Fort Lauderdale, FL and is specialized in Mental Health. Richard L Travis practices in Fort Lauderdale, FL and has the professional credentials of EDDLMHCCAPP. The NPI Number for Richard L Travis is 1700996907 and holds a License No. 042 (Florida).

The current practice location address for Richard L Travis is 1919 Ne 45Th Street, Fort Lauderdale, FL and can be reached out via phone at 954-776-7176 and via fax at 954-776-7160. You can also correspond with Richard L Travis through the mailing address at 1919 NE 45TH STREET, FORT LAUDERDALE, FL - 33308 (mailing address contact number: 954-776-7176).

Location: 1919 Ne 45Th Street, Fort Lauderdale, FL, 33308
person
Provider Profile Details
NPI Number
1700996907
Provider Name
Richard L Travis
Credential
EDDLMHCCAPP
Provider Entity Type
Individual
Gender
Male
Address
1919 Ne 45Th Street, Fort Lauderdale, FL, 33308
Phone Number
954-776-7176
Fax Number
954-776-7160
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z4960 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1919 Ne 45Th Street
City
State
Zip
33308
Phone Number
954-776-7176
Fax Number
954-776-7160
person
Provider Business Mailing Address Details
Address
1919 Ne 45Th Street
City
State
Zip
33308
Phone Number
954-776-7176
Fax Number
954-776-7160
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MH2294 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
042 (Florida)
Definition
Definition to come...
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