Healthcare Provider Details

I. General information

NPI: 1376413963
Provider Name (Legal Business Name): KEILA GARIBAY-HARRIS LPC, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 MONTOPOLIS DR
AUSTIN TX
78741-6411
US

IV. Provider business mailing address

2901 MONTOPOLIS DR
AUSTIN TX
78741-6411
US

V. Phone/Fax

Practice location:
  • Phone: 512-978-9901
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number88771
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16184
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: