Liddia George
Liddia Thornton · Counselor (Addiction (Substance Use Disorder))

Address: 419 E Magnolia Ave, San Antonio, TX 78212-3012
Phone: 2107853855

Liddia George (NPI# 1235775206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1235775206
Entity Type Individual
Full Name Liddia George
Other Name Liddia Thornton
Credential LCDC
Gender Female
Practice Address 419 E Magnolia Ave
San Antonio
TX 78212-3012
Practice Telephone 2107853855
Practice Fax Number 2105873533
Mailing Address Po Box 15440
San Antonio
TX 78212-8640
Mailing Telephone 2107853039
Mailing Fax Number 2105873533
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-11-25
Last Update Date 2019-11-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers 11667 TX

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 419 E MAGNOLIA AVE
City SAN ANTONIO
State TX
Zip Code 78212-3012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942847355 Amber Edwards Counselor 419 E Magnolia Ave, San Antonio, TX 78212-3012 2019-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
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Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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