Healthcare Provider Details

I. General information

NPI: 1619789047
Provider Name (Legal Business Name): MS. SARA ISABELA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3477 S MERCY RD STE 201
GILBERT AZ
85297-0448
US

IV. Provider business mailing address

1386 W SPINE TREE AVE
SAN TAN VALLEY AZ
85140-7240
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-6580
  • Fax:
Mailing address:
  • Phone: 520-604-0165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-22755
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: