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NPI Code Detail

MEDICARE: DIANA GARCIA

MEDICARE: DIANA GARCIA
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
1101YP2500XProfessional CounselorAPC009728GA

General Provider Information

NPI Number : 1174454995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA GARCIA
Provider Business Mailing Address
First Line : 3225 SHALLOWFORD RD STE 500
Second Line :
City : MARIETTA
State : GA
Zip : 30062-7024
Country : US
Telephone Number : 630-522-3124
Fax Number :
Provider Business Practice Location Address
First Line : 3225 SHALLOWFORD RD STE 500
Second Line :
City : MARIETTA
State : GA
Zip : 30062-7024
Country : US
Telephone Number : 630-522-3124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ DIANA GARCIA ” Practice Location

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