Individual
MR. TRAVIS HENRY TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC-MHSP
Contact information
Practice address
2690 MEMORIAL BLVD, SUITE E4, MURFREESBORO, TN 37129-5140
(615) 310-6582
(615) 904-6159
Mailing address
PO BOX 11568, MURFREESBORO, TN 37129-0032
(615) 310-6582
(615) 904-6159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000000001453LPC
TN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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