Individual
DR. RICHARD L TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD LMHC CAPP
Contact information
Practice address
1919 NE 45TH STREET, #122, FORT LAUDERDALE, FL 33308
(954) 776-7176
(954) 776-7160
Mailing address
1919 NE 45TH STREET, #122, FORT LAUDERDALE, FL 33308
(954) 776-7176
(954) 776-7160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
042
FL
101YM0800X
Mental Health Counselor
MH2294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z4960
BCBS
—
Enumeration date
08/30/2006
Last updated
09/11/2025
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