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NPI 1366362261

NPI 1366362261 : TRAVIS S. ANDREWS, PH.D., LLC : RIEGELWOOD, NC

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General NPI Number Information
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    NPI Number           |    1366362261
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRAVIS S. ANDREWS, PH.D., LLC 
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Dates
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    Enumeration Date     |    07/20/2026
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    Last Update Date     |    07/20/2026
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Provider Practice Location Address
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    Address Line         |    671 DICKSON RD 
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    City                 |    RIEGELWOOD
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    State                |    NC
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    Zip                  |    28456-8066
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    Country              |    US
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    Telephone            |    919-214-0862
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    671 DICKSON RD 
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    City                 |    RIEGELWOOD
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    State                |    NC
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    Zip                  |    28456-8066
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    Country              |    US
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    Telephone            |    919-214-0862
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MANAGER
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    Name                 |    DR. TRAVIS SWINDELL ANDREWS 
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    Credential           |    PH.D., LCMHC-S
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    Telephone            |    919-214-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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