White, Travis Michael

White, Travis Michael is an sole proprietor health care provider with primary practice located at 120 W 5Th St , Tyler TX 75701-4054. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. White, Travis Michael can be contacted via phone (903) 780-3477.

Contact Information

Primary practice address
120 W 5Th St Tyler TX 75701-4054
Phone: (903) 780-3477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63524 Texas

Profile Details

NPI number 1427234285
LBN Legal business name White, Travis Michael
Credentials MA, LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Oct 25th, 2013 - about 12 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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