Provider Demographics
NPI:1720978174
Name:GARCIA, YVETTE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HALTOM RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76117-6408
Mailing Address - Country:US
Mailing Address - Phone:817-889-6188
Mailing Address - Fax:
Practice Address - Street 1:101 BOURLAND RD STE C
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3507
Practice Address - Country:US
Practice Address - Phone:817-479-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health