Provider Demographics
NPI:1952770406
Name:GARCIA, NICOLE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:HAJMASI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2517
Mailing Address - Country:US
Mailing Address - Phone:917-536-8065
Mailing Address - Fax:
Practice Address - Street 1:290 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4991
Practice Address - Country:US
Practice Address - Phone:917-536-8065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health