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NPI Code Detail

MEDICARE: TAYLOR GARCIA LPC

MEDICARE: TAYLOR GARCIA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor77248TX

General Provider Information

NPI Number : 1073982542
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR GARCIA LPC
Provider Business Mailing Address
First Line : 1325 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6403
Country : US
Telephone Number : 713-365-9015
Fax Number :
Provider Business Practice Location Address
First Line : 1325 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6403
Country : US
Telephone Number : 713-365-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 11/05/2021

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Directions to “ TAYLOR GARCIA LPC” Practice Location

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