Travis Childress, is a
Marriage & Family Therapist based in Lambertville, Michigan. Travis Childress is licensed to practice in Michigan (license number 4101006829) and his current practice location is
6530 Secor Rd Ste 10, Lambertville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 854-7061.
NPI number for Travis Childress is 1326512658 and his current mailing address is 165 Renfrew Ave, Adrian, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326512658.
Healthcare Provider's Profile
Full Name | Travis Childress |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 6530 Secor Rd Ste 10, Lambertville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326512658
- Provider Enumeration Date: 01/21/2019
- Last Update Date: 01/21/2019
Medical Identifiers
Medical identifiers for Travis Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326512658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4101006829 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Childress is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Travis Childress, 165 Renfrew Ave, Adrian, MI 49221-1807 Ph: (417) 588-0977 | Travis Childress, 6530 Secor Rd Ste 10, Lambertville, MI 48144-9456 Ph: (734) 854-7061 |
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