Strange, Travis Ray

Strange, Travis Ray is an sole proprietor health care provider with primary practice located at 133 Chieftain Dr Ste 105 , Waxahachie TX 75165-1587. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Strange, Travis Ray can be contacted via phone (469) 773-0980.

Contact Information

Primary practice address
133 Chieftain Dr Ste 105 Waxahachie TX 75165-1587
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 19661 Texas

Profile Details

NPI number 1750438966
LBN Legal business name Strange, Travis Ray
Credentials LPC - SUPERVISOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750438966 NPPES
Texas MEDICAID 176331001

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