Provider Demographics
NPI:1518341627
Name:GARCIA, EILEEN P (LMFT)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:P
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2469 S ROBERTSON BLVD APT 209
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2045
Mailing Address - Country:US
Mailing Address - Phone:213-204-3196
Mailing Address - Fax:
Practice Address - Street 1:2401 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3801
Practice Address - Country:US
Practice Address - Phone:310-664-7795
Practice Address - Fax:310-314-5487
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist