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General NPI Number Information
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NPI Number | 1376432021
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Entity Type | Individual
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Provider Name | ANDREA L TRAVIS
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 650 POYDRAS ST STE 1400
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City | NEW ORLEANS
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State | LA
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Zip | 70130-6116
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Country | US
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Telephone | 323-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746878
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City | ATLANTA
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State | GA
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Zip | 30374-6878
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9922
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2820
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License Number State | MS
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