Healthcare Provider Details

I. General information

NPI: 1679493928
Provider Name (Legal Business Name): SYDNEY ANN GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 JOE DIMAGGIO BLVD
ROUND ROCK TX
78665-3927
US

IV. Provider business mailing address

2851 JOE DIMAGGIO BLVD
ROUND ROCK TX
78665-3927
US

V. Phone/Fax

Practice location:
  • Phone: 512-402-3037
  • Fax:
Mailing address:
  • Phone: 512-402-3037
  • 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:
Title or Position:
Credential:
Phone: