Organization Name: | O'CANA LIFE WORKS, LLC |
NPI Number: | 1528482296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA MARIE O'CANA (OWNER) |
Mailing Address: | 13620 Nw Military Hwy Bldg 3 Suite 4 Shavano Park |
State: | TX US |
Postal Code: | 782311875 |
Phone Number: | 2106879711 |
Fax Number: | 2105684066 |
NPI Enumeration Date: | 02/14/2014 |
NPI Last Update Date: | 02/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 19165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |