Healthcare Provider Details

I. General information

NPI: 1801256706
Provider Name (Legal Business Name): JOSLYN GARCIA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 ANAHEIM AVE NE
ALBUQUERQUE NM
87113-1887
US

IV. Provider business mailing address

5916 ANAHEIM AVE NE
ALBUQUERQUE NM
87113-1887
US

V. Phone/Fax

Practice location:
  • Phone: 505-291-6314
  • Fax:
Mailing address:
  • Phone: 505-291-6314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCMH0221511
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: