Mitchell, Travis A

Mitchell, Travis A is an individual health care provider with primary practice located at 8759 Annetta Ave , Saint Louis MO 63147-1602. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mitchell, Travis A can be contacted via phone (314) 381-4225.

Contact Information

Primary practice address
8759 Annetta Ave Saint Louis MO 63147-1602
Phone: (314) 381-4225
Fax: (314) 381-4225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4718 Missouri
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 103 Missouri
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 5653 Missouri

Profile Details

NPI number 1750655890
LBN Legal business name Mitchell, Travis A
Credentials PHYSICOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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