Individual provider · Type 1 NPI

Travis Stidham

Mental Health Counselor · Prestonsburg, KY

NPI number 1336051218 Active

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Call (606) 886-8572 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336051218

Travis Stidham's National Provider Identifier is 1336051218, issued on Sep 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Sep 17, 2026.