MEDICARE: DORIS A GARCIA LMHC

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	101YM0800X	Mental Health Counselor	MH19701	FL

General Provider Information

NPI Number	:	1750781563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS A GARCIA LMHC

Provider Business Mailing Address
First Line	:	289 NW 98TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-1634
Country	:	US
Telephone Number	:	305-741-9025
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 S MIAMI AVE STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1634
Country	:	US
Telephone Number	:	305-374-6006
Fax Number	:

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

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	01/31/2023

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