Provider Demographics
NPI:1326023847
Name:OMEGA COUNSELING SERVICES
Entity Type:Organization
Organization Name:OMEGA COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO-JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLA-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC/AAC
Authorized Official - Phone:915-775-9891
Mailing Address - Street 1:8201 LOCKHEED DR
Mailing Address - Street 2:STE 115
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2500
Mailing Address - Country:US
Mailing Address - Phone:915-775-9891
Mailing Address - Fax:915-775-9891
Practice Address - Street 1:8201 LOCKHEED DR
Practice Address - Street 2:STE 115
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2500
Practice Address - Country:US
Practice Address - Phone:915-775-9891
Practice Address - Fax:915-775-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2376-A261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder