MEDICARE: GABRIELLA HALLOUM LPC

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	89534	TX

General Provider Information

NPI Number	:	1740011428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA HALLOUM LPC

Provider Business Mailing Address
First Line	:	7708 SAN FELIPE BLVD APT 33
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78729-7796
Country	:	US
Telephone Number	:	512-909-1271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 S CAPITAL OF TEXAS HWY STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6544
Country	:	US
Telephone Number	:	888-257-1437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	12/23/2025

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