Provider Demographics
NPI:1528482296
Name:O'CANA LIFE WORKS, LLC
Entity type:Organization
Organization Name:O'CANA LIFE WORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:O'CANA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-687-9711
Mailing Address - Street 1:6423 RAMBLING TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5503
Mailing Address - Country:US
Mailing Address - Phone:210-687-9711
Mailing Address - Fax:210-568-4066
Practice Address - Street 1:13620 NW MILITARY HWY BLDG 3
Practice Address - Street 2:SUITE 4
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1875
Practice Address - Country:US
Practice Address - Phone:210-687-9711
Practice Address - Fax:210-568-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19165101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty