Provider Demographics
NPI:1932400371
Name:GARBER, ANDREW (MS, LMFT, CHT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:GARBER
Suffix:
Gender:M
Credentials:MS, LMFT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 OAK LEA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-8566
Mailing Address - Country:US
Mailing Address - Phone:386-747-3554
Mailing Address - Fax:
Practice Address - Street 1:1635 S RIDGEWOOD AVE
Practice Address - Street 2:SUITE #223
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-8427
Practice Address - Country:US
Practice Address - Phone:386-747-3554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1422106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist