Provider Demographics
NPI:1619516341
Name:GARCIA, CINDY P (LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:P
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 MINNESOTA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6360
Mailing Address - Country:US
Mailing Address - Phone:512-656-2130
Mailing Address - Fax:
Practice Address - Street 1:8302 MINNESOTA LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-6360
Practice Address - Country:US
Practice Address - Phone:512-656-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-28
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health