Individual provider · Type 1 NPI

Larry R. Travis, LCMHT/LSW/CCSS-II

Mental Health Counselor · Whitfield, MS

NPI number 1902249238 Active

Practice location

3550 Highway, 468 West, Fiscal Services
Whitfield, MS 39193-0157

Call (601) 351-8000 Map

Mailing address

P.o. Box 1, 3550 Highway, 468 West Fiscal Services
Whitfield, MS 39193-0157

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0084 (MS)
Social Worker 104100000XW0709 (MS)
Case Manager/Care Coordinator 171M00000X0367 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1902249238

Larry R. Travis, LCMHT/LSW/CCSS-II's National Provider Identifier is 1902249238, issued on Apr 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Whitfield, MS. The record was last updated on Jan 29, 2014.