Travis, Mandy Marie

Travis, Mandy Marie is an sole proprietor health care provider with primary practice located at 1317 S 25Th St , Colorado Springs CO 80904-4102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Travis, Mandy Marie can be contacted via phone (719) 271-9255.

Contact Information

Primary practice address
1317 S 25Th St Colorado Springs CO 80904-4102
Phone: (719) 271-9255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0012709 Colorado

Profile Details

NPI number 1548504699
LBN Legal business name Travis, Mandy Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jul 11th, 2019 - about 7 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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