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General NPI Number Information
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NPI Number | 1972369155
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Entity Type | Individual
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Provider Name | PATRICK SIVILS MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1 CHISHOLM TRAIL RD STE 225
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City | ROUND ROCK
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State | TX
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Zip | 78681-5106
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Country | US
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Telephone | 512-956-6463
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Fax | 866-653-5142
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Provider Business Mailing Address
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Address Line | 2209 W PFLUGERVILLE PKWY APT 14214
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City | ROUND ROCK
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State | TX
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Zip | 78664-2816
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Country | US
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Telephone | 580-699-0178
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86785
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License Number State | TX
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