Healthcare Provider Details

I. General information

NPI: 1720879661
Provider Name (Legal Business Name): APRIL MICHELLE GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MAIN ST NW
LOS LUNAS NM
87031-4849
US

IV. Provider business mailing address

1732 DEL NORTE BLVD
GRANTS NM
87020-2310
US

V. Phone/Fax

Practice location:
  • Phone: 323-216-6576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: