Organization
OMNI LAYNE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LAYNE (OFFICE MANAGER)
(210) 800-6146
Entity
Organization
Contact information
Practice address
3740 COLONY DR, SUITE 122, SAN ANTONIO, TX 78230-2290
(210) 818-1707
(210) 641-2940
Mailing address
3740 COLONY DR STE 122, SAN ANTONIO, TX 78230-2290
(210) 733-9929
(210) 733-9916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6460
TX
101YP2500X
Professional Counselor
19744
TX
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
104100000X
Social Worker
25003
TX
1041C0700X
Clinical Social Worker
27629
TX
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186547902
—
TX
01
—
429106
MEDICARE
TX
Enumeration date
08/22/2006
Last updated
10/18/2024
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