Provider Demographics
NPI:1770763435
Name:GARCIA, TERESITA Q (LMHC)
Entity type:Individual
Prefix:MRS
First Name:TERESITA
Middle Name:Q
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 NW 178TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3535
Mailing Address - Country:US
Mailing Address - Phone:305-282-4947
Mailing Address - Fax:
Practice Address - Street 1:8600 NW 178TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015
Practice Address - Country:US
Practice Address - Phone:305-282-4947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-11
Last Update Date:2020-08-05
Deactivation Date:2016-03-07
Deactivation Code:
Reactivation Date:2020-07-31
Provider Licenses
StateLicense IDTaxonomies
FLMH9196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health