Provider Demographics
NPI:1770989493
Name:GARCIA, PATRICIA (LPC MS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 HOLLY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4645
Mailing Address - Country:US
Mailing Address - Phone:361-992-2244
Mailing Address - Fax:361-992-3355
Practice Address - Street 1:5402 HOLLY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4645
Practice Address - Country:US
Practice Address - Phone:361-992-2244
Practice Address - Fax:361-992-3355
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71365101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional