Individual provider · Type 1 NPI

Stacy Travis

Mental Health Counselor · Tupelo, MS

NPI number 1649759002 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Fax (662) 680-5129

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649759002

Stacy Travis's National Provider Identifier is 1649759002, issued on Aug 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Aug 7, 2018.