Provider Demographics
NPI:1306238332
Name:GARCIA, KATIE N (PHD, LMFT, LPC)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:N
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHD, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7557
Mailing Address - Country:US
Mailing Address - Phone:318-245-7733
Mailing Address - Fax:
Practice Address - Street 1:864 OLIVE ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2159
Practice Address - Country:US
Practice Address - Phone:318-222-0759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4776101Y00000X
LA1195106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor