Provider Demographics
NPI:1437471372
Name:SEBERA, TRAVIS GENE (LPC-S)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:GENE
Last Name:SEBERA
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1643
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620
Mailing Address - Country:US
Mailing Address - Phone:512-327-7500
Mailing Address - Fax:
Practice Address - Street 1:150 TRUFFLES TRL
Practice Address - Street 2:
Practice Address - City:DRIPPING SPGS
Practice Address - State:TX
Practice Address - Zip Code:78620
Practice Address - Country:US
Practice Address - Phone:210-342-0986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11688101YP2500X, 101YM0800X
TX1258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1258OtherLICENSED PROFESSIONAL COUNSELOR - SUPERVISOR
TX11688OtherLPC LICENSE NUMBER