Provider Demographics
NPI:1134559842
Name:GARCIA, MARIA JEANETTE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JEANETTE
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 1:15246 SW 21ST PL
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4384
Mailing Address - Country:US
Mailing Address - Phone:305-519-4741
Mailing Address - Fax:
Practice Address - Street 1:15246 SW 21ST PL
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4384
Practice Address - Country:US
Practice Address - Phone:305-519-4741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist