Easy River Counseling and Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EASY RIVER COUNSELING AND WELLNESS PLLC

Practice address

4081 De Zavala Rd # 201
Shavano Park, TX 78249-2082

Phone

(210) 875-6374

NPI assigned

Oct 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen Dunne Garcia, LPC, LCDCNPI 1710587936

Title

Director/Counselor

Phone

(210) 875-6374

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Dunne Garcia, LPC, LCDC

  • Professional Counselor
  • Shavano Park, TX
  • NPI 1710587936

  Addiction (Substance Use Disorder)

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1225755689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12518 BETELGEUSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454855",
            "telephone_number": "210-875-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 DE ZAVALA RD # 201",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492082",
            "telephone_number": "210-875-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY RIVER COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DUNNE",
        "authorized_official_title_or_position": "DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "210-875-6374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.