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LAKENYA TRAVIS PCMHT
NPI 1376300350
Counselor - Mental Health in Prentiss, MS

Active since March 05, 2024
116 JE JOHNSON RD, PRENTISS, MS 39474(601) 792-4872(601) 792-2643 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakenya Travis Pcmht NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKENYA TRAVIS PCMHT (NPI 1376300350) is an individual mental health provider in Prentiss, Mississippi, licensed in Mississippi (6380) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1376300350
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAKENYA TRAVISCredential: PCMHT
Location Address116 JE JOHNSON RDPrentiss, MS 39474-3104
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 792-4872
Fax(601) 792-2643
Sole ProprietorNo
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1376300350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MS · 6380
116 JE JOHNSON RD, Prentiss, MS 39474
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHONDA BURRE
Counselor (Mental Health)
116 JE JOHNSON RD
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4872
JOE BROWN
Day Training/Habilitation Specialist
116 JE JOHNSON RD
PRENTISS, MS 39474
Jefferson Davis County (601) 792-4872

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakenya Travis's NPI number?

The NPI number for Lakenya Travis is 1376300350. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Lakenya Travis located?

Lakenya Travis practices at 116 Je Johnson Rd, Prentiss, MS 39474. The listed phone number is (601) 792-4872.

What is Lakenya Travis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lakenya Travis was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.