Healthcare Provider Details

I. General information

NPI: 1003135369
Provider Name (Legal Business Name): ELIZABETH A TOFANI GARCIA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N BUTLER ST
KARNES CITY TX
78118
US

IV. Provider business mailing address

310 W OAKLAWN RD
PLEASANTON TX
78064-4033
US

V. Phone/Fax

Practice location:
  • Phone: 830-780-3100
  • Fax: 830-780-3130
Mailing address:
  • Phone: 830-569-8940
  • Fax: 830-569-8320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number64214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: