Healthcare Provider Details

I. General information

NPI: 1366599862
Provider Name (Legal Business Name): MICHELLE ALLISON GARCIA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29818 SUNWILLOW CREEK DR
SPRING TX
77386-2848
US

IV. Provider business mailing address

PO BOX 8915
THE WOODLANDS TX
77387-8915
US

V. Phone/Fax

Practice location:
  • Phone: 713-397-3104
  • Fax: 281-364-9642
Mailing address:
  • Phone: 713-397-3104
  • Fax: 281-364-9642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number974
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number33318
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: