Healthcare Provider Details

I. General information

NPI: 1295524460
Provider Name (Legal Business Name): SIMONE SILVEYRA-BABINEAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 SHOAL CREEK BLVD # 202
AUSTIN TX
78757-7591
US

IV. Provider business mailing address

941 HESTERS CROSSING RD APT 1704
ROUND ROCK TX
78681-7831
US

V. Phone/Fax

Practice location:
  • Phone: 512-201-4501
  • Fax:
Mailing address:
  • Phone: 512-939-1588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number96056
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: