Individual provider · Type 1 NPI

Tanisha Chanti Travis

Counselor · Concord, NC

NPI number 1043597982 Active

Practice location

284 Executive Park Drive, Suite 100
Concord, NC 28025-1894

Call (704) 939-1100 Map

Fax (704) 939-1173

Mailing address

725 Highland Ave
Winston Salem, NC 27101-4206

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043597982

Tanisha Chanti Travis's National Provider Identifier is 1043597982, issued on Nov 7, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Concord, NC. The record was last updated on Nov 7, 2011.