Provider Demographics
NPI:1831827666
Name:GARCIA, EDGAR OMAR (MS, LPC)
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:OMAR
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 RUBEN TORRES SR BLVD APT 1318
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2860
Mailing Address - Country:US
Mailing Address - Phone:956-459-9157
Mailing Address - Fax:
Practice Address - Street 1:7480 PADRE ISLAND HWY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3449
Practice Address - Country:US
Practice Address - Phone:956-410-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional