Provider Demographics
NPI:1104360296
Name:TRAVIS, STERLING PRICE (MED, NCC)
Entity Type:Individual
Prefix:MR
First Name:STERLING
Middle Name:PRICE
Last Name:TRAVIS
Suffix:
Gender:M
Credentials:MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6744 HOPTON CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2970
Mailing Address - Country:US
Mailing Address - Phone:434-989-8952
Mailing Address - Fax:
Practice Address - Street 1:8249 CROWN COLONY PKWY # VA23116
Practice Address - Street 2:PKWY #200
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-4057
Practice Address - Country:US
Practice Address - Phone:804-789-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health