MEDICARE: GARCIA HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1376224188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARCIA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	12150 SW 128TH CT STE 123
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4672
Country	:	US
Telephone Number	:	786-973-6242
Fax Number	:	786-250-4571

Provider Business Practice Location Address
First Line	:	12150 SW 128TH CT STE 123
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4672
Country	:	US
Telephone Number	:	786-973-6242
Fax Number	:	786-250-4571

Authorized Official
Title or Position	:	CEO
Name	:	GLENDA GARCIA
Credential	:	ARNP
Telephone Number	:	786-973-6242

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	02/27/2024

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Directions to “GARCIA HEALTH SERVICES LLC ” Practice Location

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