Provider Demographics
NPI:1639568611
Name:PREVAILING TRUTH LLC
Entity Type:Organization
Organization Name:PREVAILING TRUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP
Authorized Official - Phone:954-599-8946
Mailing Address - Street 1:3640 N FEDERAL HWY
Mailing Address - Street 2:STE B3 #128
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6648
Mailing Address - Country:US
Mailing Address - Phone:954-599-8946
Mailing Address - Fax:
Practice Address - Street 1:3640 N FEDERAL HWY
Practice Address - Street 2:STE B3 #128
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6648
Practice Address - Country:US
Practice Address - Phone:954-599-8946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13085101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty