Healthcare Provider Details

I. General information

NPI: 1629993910
Provider Name (Legal Business Name): VICTOR FRANCISCO GARCIA-BORBON LMHC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10708 AVERY PARK DR
RIVERVIEW FL
33578-0042
US

IV. Provider business mailing address

10708 AVERY PARK DR
RIVERVIEW FL
33578-0042
US

V. Phone/Fax

Practice location:
  • Phone: 845-216-1217
  • Fax:
Mailing address:
  • Phone: 845-216-1217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18678
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: