Provider Demographics
NPI:1942472022
Name:GARCIA, LUZ L (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LUZ
Middle Name:L
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 1:939 BURKE ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2575
Mailing Address - Country:US
Mailing Address - Phone:336-529-7909
Mailing Address - Fax:336-917-0096
Practice Address - Street 1:939 BURKE ST
Practice Address - Street 2:SUITE F
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2575
Practice Address - Country:US
Practice Address - Phone:336-529-7909
Practice Address - Fax:336-917-0096
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1189106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist