Individual provider · Type 1 NPI

Genesis Travis

Mental Health Counselor · Chandler, AZ

NPI number 1104792555 Active

Practice location

4800 S Alma School Rd Apt 3118
Chandler, AZ 85248-5571

Call (575) 621-0911 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCMH0206061 (NM)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Chandler

See all in Chandler →

About NPI 1104792555

Genesis Travis's National Provider Identifier is 1104792555, issued on Oct 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, AZ. The record was last updated on Oct 14, 2025.