Childress, Travis

Childress, Travis is an individual health care provider with primary practice located at 6530 Secor Rd Ste 10 , Lambertville MI 48144-9456. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Childress, Travis can be contacted via phone (734) 854-7061.

Contact Information

Primary practice address
6530 Secor Rd Ste 10 Lambertville MI 48144-9456
Phone: (734) 854-7061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006829 Michigan

Profile Details

NPI number 1326512658
LBN Legal business name Childress, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2019
Last updated Jan 21st, 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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