NPI Code Details Logo

NPI 1790698314

NPI 1790698314 : DAVID T GARCIA : HACKENSACK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790698314
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID T GARCIA
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/24/2026
-----------------------------------------------------
    Last Update Date     |    09/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    835 MAIN ST 
-----------------------------------------------------
    City                 |    HACKENSACK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07601-4858
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-678-1802
-----------------------------------------------------
    Fax                  |    347-227-8334
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    293 GRANT AVE 
-----------------------------------------------------
    City                 |    NUTLEY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07110-2817
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    646-522-7701
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    37AC01001900
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.