Provider Demographics
NPI:1336444363
Name:GARCIA, VINCENT D (LPC)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:D
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 RIDGECREST DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-1410
Mailing Address - Country:US
Mailing Address - Phone:214-494-9097
Mailing Address - Fax:
Practice Address - Street 1:2407 RIDGECREST DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-1410
Practice Address - Country:US
Practice Address - Phone:214-494-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health