Healthcare Provider Details

I. General information

NPI: 1295654614
Provider Name (Legal Business Name): MIKE GARDA LMHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 FULLERTON AVE
NEWBURGH NY
12550-3768
US

IV. Provider business mailing address

369 FULLERTON AVE
NEWBURGH NY
12550-3768
US

V. Phone/Fax

Practice location:
  • Phone: 845-275-3778
  • Fax:
Mailing address:
  • Phone: 845-275-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GARDA
Title or Position: OWNER
Credential:
Phone: 845-275-3778