Nolan, Travis

Nolan, Travis is an sole proprietor health care provider with primary practice located at 2200 Marsh Hawk Ln Unit 615 , Fleming Island FL 32003-4315. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nolan, Travis can be contacted via phone (904) 294-7247.

Contact Information

Primary practice address
2200 Marsh Hawk Ln Unit 615 Fleming Island FL 32003-4315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW17486 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW17486 Florida

Profile Details

NPI number 1205448560
LBN Legal business name Nolan, Travis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2020
Last updated Feb 3rd, 2022 - about 2 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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