Provider Demographics
NPI:1245886308
Name:GARCIA, ANA-ALICIA (LGPC)
Entity type:Individual
Prefix:
First Name:ANA-ALICIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TENTMILL LN APT G
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6224
Mailing Address - Country:US
Mailing Address - Phone:517-410-3778
Mailing Address - Fax:
Practice Address - Street 1:22880 WHELAN LN
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-9011
Practice Address - Country:US
Practice Address - Phone:240-773-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreational Therapist Assistant