Provider Demographics
NPI:1346526787
Name:GARGER, VICTORIA FEYOCK (LCSW-S)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:FEYOCK
Last Name:GARGER
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:FEYOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-S
Mailing Address - Street 1:6791 SPARTA RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-5010
Mailing Address - Country:US
Mailing Address - Phone:254-228-9358
Mailing Address - Fax:
Practice Address - Street 1:121 N EAST ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-3219
Practice Address - Country:US
Practice Address - Phone:254-339-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX060651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical