Provider Demographics
NPI:1366027112
Name:GARCIA, DENISE GARCIA (PMHNP-BC, DNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:GARCIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PMHNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N ELM ST STE 275
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3632
Mailing Address - Country:US
Mailing Address - Phone:331-529-8712
Mailing Address - Fax:
Practice Address - Street 1:901 N ELM ST STE 275
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3632
Practice Address - Country:US
Practice Address - Phone:331-529-8712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041383185163WP0808X
IL209022947363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health