Provider Demographics
NPI:1659506533
Name:GARCIA-RICO, MERCEDES (LMHC)
Entity Type:Individual
Prefix:PROF
First Name:MERCEDES
Middle Name:
Last Name:GARCIA-RICO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 W 37TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4675
Mailing Address - Country:US
Mailing Address - Phone:305-776-5161
Mailing Address - Fax:305-822-6710
Practice Address - Street 1:1723 W 37TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4675
Practice Address - Country:US
Practice Address - Phone:305-776-5161
Practice Address - Fax:305-822-6710
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health