Provider Demographics
NPI:1942953641
Name:TRAVIS, PATRICK MICHAEL (LMHC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:TRAVIS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MACARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3411
Mailing Address - Country:US
Mailing Address - Phone:617-765-7060
Mailing Address - Fax:
Practice Address - Street 1:101 MACARTHUR RD
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3411
Practice Address - Country:US
Practice Address - Phone:781-439-3309
Practice Address - Fax:781-439-3309
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health