Richard L Travis in Fort Lauderdale - Addiction (substance Use Disorder)
Richard L Travis - NPI 1700996907
Richard L Travis is a Addiction (substance Use Disorder) in Fort Lauderdale, Florida. Richard L Travis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Richard L Travis is 1700996907. The last update date is 2007-07-08.
Richard L Travis's current location address is 1919 Ne 45th Street, Fort Lauderdale, Florida. You can contact this provider via phone number 9547767176 and fax number 9547767160. The mailing address for Richard L Travis is 1919 Ne 45th Street, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard L Travis |
|---|---|
| Address | 1919 Ne 45th Street, Fort Lauderdale, Florida |
| Phone Number | 9547767176 |
| Fax Number | 9547767160 |
| Sole Proprietor | N |
| Credentials | EDD LMHC C |
NPI Number Detail
| NPI Number | 1700996907 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1919 Ne 45th Street |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 33308 |
| Phone Number | 9547767176 |
| Fax Number | 9547767160 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 42 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z4960 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard L Travis by the Centers for Medicare & Medicaid Services?
The Richard L Travis has been assigned the NPI (National Provider Identifier) 1700996907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Richard L Travis's facilities are situated?
The facilities of Richard L Travis are physically located at the following address: 1919 Ne 45Th Street, Fort Lauderdale, FL, 33308.
What is Richard L Travis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard L Travis's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700996907 to Richard L Travis?
The Centers for Medicare & Medicaid Services originally issued the 1700996907 to Richard L Travis on 2006-08-30.
When was the information related to Richard L Travis most recently updated or refreshed?
The details pertaining to the Richard L Travis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.