Johnson, Travis
Johnson, Travis is an sole proprietor health care provider with primary practice located at 5200 Lapalco Blvd Suite # 2, Marrero LA 70072-4254. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Johnson, Travis can be contacted via phone (504) 265-8115.Contact Information
Primary practice address
5200 Lapalco Blvd Suite # 2
Marrero LA 70072-4254
Phone: (504) 265-8115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 722 | Louisiana |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4097 | Louisiana |
Profile Details
| NPI number | 1356611719 |
|---|---|
| LBN Legal business name | Johnson, Travis |
| Credentials | LPC, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2012 |
| Last updated | Jan 3rd, 2012 - about 14 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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