Provider Demographics
NPI:1750548327
Name:GARCIA, RITA CECILIA (LMFT, CST)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:CECILIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMFT, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 MARKET ST UNIT 1003
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1357
Mailing Address - Country:US
Mailing Address - Phone:347-559-4638
Mailing Address - Fax:484-930-0055
Practice Address - Street 1:160 BROADWAY BLDG SUITE915
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4201
Practice Address - Country:US
Practice Address - Phone:347-559-4638
Practice Address - Fax:484-930-0055
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001095101YM0800X
PAMF001165101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health