MEDICARE: MRS. LEA ANN GARCIA M.ED., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3904	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	900522105	OTHER	OK	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679744890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEA ANN GARCIA M.ED., LPC

Provider Business Mailing Address
First Line	:	7200 RUSTIC CREEK RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73165-7131
Country	:	US
Telephone Number	:	405-245-9520
Fax Number	:	405-793-8855

Provider Business Practice Location Address
First Line	:	7200 RUSTIC CREEK RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73165-7131
Country	:	US
Telephone Number	:	405-245-9520
Fax Number	:	405-793-8855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	09/15/2011

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