Nolan, Travis
Nolan, Travis is an sole proprietor health care provider with primary practice located at 2200 Marsh Hawk Ln Unit 615 , Fleming Island FL 32003-4315. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nolan, Travis can be contacted via phone (904) 294-7247.Contact Information
Primary practice address
2200 Marsh Hawk Ln Unit 615
Fleming Island FL 32003-4315
Phone: (904) 294-7247
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | SW17486 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW17486 | Florida |
Profile Details
| NPI number | 1205448560 |
|---|---|
| LBN Legal business name | Nolan, Travis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2020 |
| Last updated | Feb 3rd, 2022 - about 4 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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