Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Travis

Individual provider Mental Health Counselor · NPI 1104792555

Genesis Travis is a Mental Health Counselor in Chandler, Arizona. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

4800 S Alma School Rd Apt 3118
Chandler, AZ 85248-5571
Phone: (575) 621-0911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CMH0206061 (NM)

Record details

NPI number1104792555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address4800 S Alma School Rd Apt 3118, Chandler, AZ 85248-5571

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