Healthcare Provider Details

I. General information

NPI: 1700281599
Provider Name (Legal Business Name): ST. CYR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 E SOUTH 11TH ST SUITE A
ABILENE TX
79602-4283
US

IV. Provider business mailing address

1219 E SOUTH 11TH ST SUITE A
ABILENE TX
79602-4283
US

V. Phone/Fax

Practice location:
  • Phone: 325-676-2039
  • Fax: 325-670-9793
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number67315
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-12-12180
License Number StateTX

VIII. Authorized Official

Name: ADAM ST CYR
Title or Position: LPC
Credential:
Phone: 325-249-0458