Genesis Travis
Counselor, Mental Health in Chandler, AZ. Individual provider (NPI-1).
NPI number1104792555
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1104792555
- Entity type
- Individual (NPI-1)
- Name
- Genesis Travis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CMH0206061 | NM | Yes |
Other names
- Genesis Pakozdi (Former Name)
Practice location
4800 S Alma School Rd Apt 3118Chandler, AZ 85248-5571
Phone 575-621-0911
Mailing address
4800 S Alma School Rd Apt 3118Chandler, AZ 85248-5571
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