Provider Demographics
NPI:1952726754
Name:GARCIA, NOAH S (LPC)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:S
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:M
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:8500 LYNDON LN APT C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-3755
Mailing Address - Country:US
Mailing Address - Phone:512-810-0200
Mailing Address - Fax:512-766-1630
Practice Address - Street 1:9414 ANDERSON MILL RD STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729
Practice Address - Country:US
Practice Address - Phone:512-810-0200
Practice Address - Fax:512-766-1630
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69173101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health