MEDICARE: ELISE SILLERS LPC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1326523515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELISE SILLERS LPC PLLC

Provider Business Mailing Address
First Line	:	10100 ANDERSON MILL RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 ANDERSON MILL RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2127
Country	:	US
Telephone Number	:	512-257-0050
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	ELISE SILLERS
Credential	:
Telephone Number	:	512-257-0050

Provider Enumeration Date	:	10/03/2018
Last Update Date	:	10/03/2018

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