Travis Clements
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mount Orab, OH
NPI 1750964235 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1750964235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 149 Mercy Blvd
Mount Orab, OH 45154-0296 - Phone
- (119) 377-1231
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Center, Inc. | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Phoenix Center, Inc. | Single Specialty | Past |
Accepting new patients |
Locations
149 Mercy Blvd
Mount Orab, OH 45154
Phone (740) 727-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
149 Mercy Blvd
Mount Orab, OH 45154-0296
Mailing address
149 Mercy Blvd
Mount Orab, OH 45154-0296
Phone (119) 377-1231
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tclements@thephoenixcenters.com |
Other providers in Mount Orab, OH
- Nicole Chambers
- Victoria Robin Chesser
- Jason Clark
- Kayleigh Sommer Clark
- Chanse Clements
- Sherry Lynn Cole
- Cheryl J Collier
- Amy Colwell
- Tonia Michelle Conn
- Crystal Cooper
All providers in Mount Orab, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.