Provider Demographics
NPI:1013453083
Name:MOREY, TRAVIS (CADCII)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:
Last Name:MOREY
Suffix:
Gender:M
Credentials:CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 ABERCORN ST STE 129
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5723
Mailing Address - Country:US
Mailing Address - Phone:912-335-1699
Mailing Address - Fax:912-335-1352
Practice Address - Street 1:6555 ABERCORN ST STE 129
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5723
Practice Address - Country:US
Practice Address - Phone:912-335-1699
Practice Address - Fax:912-335-1352
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA749101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)