Provider Demographics
NPI:1184229791
Name:GARCIA, SONIA (MA LPC)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7604 FRANKLIN LOOP
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-2805
Mailing Address - Country:US
Mailing Address - Phone:915-227-6382
Mailing Address - Fax:
Practice Address - Street 1:11860 VISTA DEL SOL DR STE 131
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6128
Practice Address - Country:US
Practice Address - Phone:915-268-4835
Practice Address - Fax:915-850-0010
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX77244OtherLPC LICENSE