Bobb, Travis Scott

Bobb, Travis Scott is an sole proprietor health care provider with primary practice located at 16507 Northcross Drive Suite F, Huntersville NC 28078. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bobb, Travis Scott can be contacted via phone (704) 277-8197.

Contact Information

Primary practice address
16507 Northcross Drive Suite F Huntersville NC 28078
Fax: (980) 999-4058
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X S4912 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S4912 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X S4912 North Carolina

Profile Details

NPI number 1093749368
LBN Legal business name Bobb, Travis Scott
Credentials PHD, LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jun 14th, 2024 - about 5 months 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 1093749368 NPPES
North Carolina MEDICAID 6102953

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