Provider Demographics
NPI:1194330928
Name:MICHELLE GARCIA LMFT
Entity type:Organization
Organization Name:MICHELLE GARCIA LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:802-345-7483
Mailing Address - Street 1:304 ALBION WAY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3238
Mailing Address - Country:US
Mailing Address - Phone:802-345-7483
Mailing Address - Fax:
Practice Address - Street 1:375 E HORSETOOTH RD BLDG 2111
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3196
Practice Address - Country:US
Practice Address - Phone:970-305-3898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health