Organization
RICHARD L TRAVIS, INC
Active
Other names
center for human potential
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LYNN TRAVIS ED.D. (PRESIDENT)
(954) 776-7176
Entity
Organization
Contact information
Practice address
1919 NE 45TH ST STE 122, FORT LAUDERDALE, FL 33308-5135
(954) 776-7176
(954) 776-7160
Mailing address
1919 NE 45TH ST STE 122, FORT LAUDERDALE, FL 33308-5135
(954) 776-7176
(954) 776-7160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2294
FL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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