Wilkerson, Travis

Wilkerson, Travis is an individual health care provider with primary practice located at 70 Batesville Blvd Ste C , Batesville AR 72501-8972. He recently has 2 registered licenses in different health care specialties including 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. Wilkerson, Travis can be contacted via phone (870) 793-3199.

Contact Information

Primary practice address
70 Batesville Blvd Ste C Batesville AR 72501-8972
Phone: (870) 793-3199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A0201006 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P0606035 Arkansas

Profile Details

NPI number 1689794828
LBN Legal business name Wilkerson, Travis
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Sep 1st, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689794828 NPPES
Arkansas MEDICAID 228377719

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