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NPI Code Detail

MEDICARE: TRAVIS ALLISON BLANCHARD M.S., PLPC

MEDICARE: TRAVIS ALLISON BLANCHARD M.S., PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPLC11289LA

General Provider Information

NPI Number : 1316870157
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS ALLISON BLANCHARD M.S., PLPC
Provider Business Mailing Address
First Line : 5000 LEON DR TRLR 136
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-6441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1117 KIRKMAN ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-5317
Country : US
Telephone Number : 337-414-8379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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