Provider Demographics
NPI:1194482075
Name:SIGAL GOVRIN LLC
Entity type:Organization
Organization Name:SIGAL GOVRIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SIGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVRIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-553-1474
Mailing Address - Street 1:6909 BANCROFT WOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7859
Mailing Address - Country:US
Mailing Address - Phone:512-553-1474
Mailing Address - Fax:
Practice Address - Street 1:6909 BANCROFT WOODS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7859
Practice Address - Country:US
Practice Address - Phone:512-553-1474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty