Organization
THE EXTENDED OLIVE BRANCH COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA T GARCIA (PRESIDENT)
(830) 443-0553
Entity
Organization
Contact information
Practice address
16320 HUEBNER RD STE 200, SAN ANTONIO, TX 78248-1690
(830) 443-0553
(830) 215-0223
Mailing address
16320 HUEBNER RD STE 200, SAN ANTONIO, TX 78248-1690
(830) 443-0553
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/14/2021
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