Provider Demographics
NPI:1891192407
Name:GARCIA PI, KENIA
Entity Type:Individual
Prefix:MRS
First Name:KENIA
Middle Name:
Last Name:GARCIA PI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KENIA
Other - Middle Name:
Other - Last Name:GARCIA PI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:356 ALHAMBRA CIR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5004
Mailing Address - Country:US
Mailing Address - Phone:305-445-0477
Mailing Address - Fax:305-445-0958
Practice Address - Street 1:356 ALHAMBRA CIR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5004
Practice Address - Country:US
Practice Address - Phone:305-445-0477
Practice Address - Fax:305-445-0958
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2929106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist