Healthcare Provider Details

I. General information

NPI: 1518052208
Provider Name (Legal Business Name): DOLORES T. GARCIA DBA OMNI COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 W PIEDRAS DR SUITE 208
SAN ANTONIO TX
78228-1216
US

IV. Provider business mailing address

4415 W PIEDRAS DR SUITE 208
SAN ANTONIO TX
78228-1216
US

V. Phone/Fax

Practice location:
  • Phone: 210-733-9929
  • Fax: 210-733-9916
Mailing address:
  • Phone: 210-733-9929
  • Fax: 210-733-9916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27629
License Number StateTX

VIII. Authorized Official

Name: MRS. DOLORES THERESE GARCIA-REDDICK
Title or Position: PRESIDENT/OWNER
Credential: LCSW
Phone: 210-733-9929