Provider Demographics
NPI:1952028722
Name:HARRISON-GARCIA, TAMIKA C (COUNSELING INTERN)
Entity type:Individual
Prefix:MS
First Name:TAMIKA
Middle Name:C
Last Name:HARRISON-GARCIA
Suffix:
Gender:F
Credentials:COUNSELING INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5849 WASHINGTON ST APT 80
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-7417
Mailing Address - Country:US
Mailing Address - Phone:508-208-3068
Mailing Address - Fax:
Practice Address - Street 1:6100 HOLLYWOOD BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-7982
Practice Address - Country:US
Practice Address - Phone:754-290-5429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional