Provider Demographics
NPI:1366938359
Name:GARCIA, BRENDA LIZ (MSW)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:LIZ
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:LIZ
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:127 S THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4560
Mailing Address - Country:US
Mailing Address - Phone:571-594-3261
Mailing Address - Fax:
Practice Address - Street 1:127 S THOMPSON RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4560
Practice Address - Country:US
Practice Address - Phone:571-594-3261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical