Healthcare Provider Details

I. General information

NPI: 1104742840
Provider Name (Legal Business Name): ALAINA NICOLE GARCIA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 GIBSON BLVD SE
ALBUQUERQUE NM
87108-5566
US

IV. Provider business mailing address

5600 GIBSON BLVD SE APT 457
ALBUQUERQUE NM
87108-5463
US

V. Phone/Fax

Practice location:
  • Phone: 505-383-1152
  • Fax:
Mailing address:
  • Phone: 505-227-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSWB-2025-1335
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: