| Omni Layne Counseling, Pllc | |
|
3740 Colony Dr Suite 122 San Antonio TX 78230-2290 | |
| (210) 818-1707 | |
| (210) 641-2940 |
| Full Name | Omni Layne Counseling, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3740 Colony Dr, San Antonio, Texas |
| Authorized Official Name and Position | Diane Layne (OFFICE MANAGER) |
| Authorized Official Contact | 2108006146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Layne Counseling, Pllc 3740 Colony Dr Ste 122 San Antonio TX 78230-2290 Ph: (210) 733-9929 | Omni Layne Counseling, Pllc 3740 Colony Dr Suite 122 San Antonio TX 78230-2290 Ph: (210) 818-1707 |
| NPI Number | 1306952304 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 6103924048 |
|---|---|
| Medicare Enrollment ID | O20070531000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306952304 | NPI | - | NPPES |
| 186547902 | Medicaid | TX | |
| 429106 | Other | TX | MEDICARE |
| Provider Name | Dolores T Reddick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679689673 PECOS PAC ID: 9335044544 Enrollment ID: I20031201000805 |
| Provider Name | Emily K French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821013681 PECOS PAC ID: 9133183569 Enrollment ID: I20041116000596 |
| Provider Name | Rosita Cantu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255834164 PECOS PAC ID: 4981967775 Enrollment ID: I20180409001019 |
| Provider Name | Anthony G. Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770029084 PECOS PAC ID: 1456767391 Enrollment ID: I20210301002461 |
| Provider Name | Ann-marie Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356067714 PECOS PAC ID: 2567838014 Enrollment ID: I20221025000714 |
| Provider Name | Delia Gomez-reyna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679256242 PECOS PAC ID: 2264884162 Enrollment ID: I20240116003690 |
| Provider Name | Marie F Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841703915 PECOS PAC ID: 5597117374 Enrollment ID: I20240117002148 |
| Provider Name | Edward J Ingle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780058701 PECOS PAC ID: 9830541622 Enrollment ID: I20240117002271 |
| Provider Name | John D Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316436074 PECOS PAC ID: 3274985585 Enrollment ID: I20240122004065 |
| Provider Name | Anthony B Chen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972836021 PECOS PAC ID: 6507218849 Enrollment ID: I20240123000363 |
| Provider Name | James R Layne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740296441 PECOS PAC ID: 1759733090 Enrollment ID: I20240123000441 |
| Provider Name | George Ayala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811157761 PECOS PAC ID: 9739531088 Enrollment ID: I20240123000516 |
| Provider Name | David I Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780931808 PECOS PAC ID: 1557714250 Enrollment ID: I20240130000806 |
| Provider Name | Della D Boyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861979387 PECOS PAC ID: 4789028820 Enrollment ID: I20240216002799 |
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