Provider Demographics
NPI:1891502373
Name:GARCIA DE LA TORRE, CARLOS ALEJANDRO (RMHC-I, MSC, MBA)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALEJANDRO
Last Name:GARCIA DE LA TORRE
Suffix:
Gender:M
Credentials:RMHC-I, MSC, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10166 SW 223RD TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1569
Mailing Address - Country:US
Mailing Address - Phone:786-942-9525
Mailing Address - Fax:
Practice Address - Street 1:10166 SW 223RD TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1569
Practice Address - Country:US
Practice Address - Phone:786-942-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH26477101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor