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General NPI Number Information
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NPI Number | 1518052208
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Entity Type | Organization
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Legal Business Name | DOLORES T. GARCIA DBA OMNI COUNSELING & CONSULTING
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4415 W PIEDRAS DR SUITE 208
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1216
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Country | US
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Telephone | 210-733-9929
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Fax | 210-733-9916
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Provider Business Mailing Address
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Address Line | 4415 W PIEDRAS DR SUITE 208
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1216
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Country | US
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Telephone | 210-733-9929
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Fax | 210-733-9916
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. DOLORES THERESE GARCIA-REDDICK
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Credential | LCSW
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Telephone | 210-733-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 27629
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License Number State | TX
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