Provider Demographics
NPI:1114230679
Name:GARCIA, YVETTE M (PLMHP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 DODGE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2759
Mailing Address - Country:US
Mailing Address - Phone:402-515-7412
Mailing Address - Fax:
Practice Address - Street 1:6901 DODGE ST STE 101
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2759
Practice Address - Country:US
Practice Address - Phone:402-515-7412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health