Basic Information
| Provider Information | |||||||||
| NPI: | 1568013464 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | PAZ | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2138 ENSENADA TER | ||||||||
| Address2: | |||||||||
| City: | WESTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333272202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546966671 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5400 S UNIVERSITY DR STE 118 | ||||||||
| Address2: | |||||||||
| City: | DAVIE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333285309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543785381 | ||||||||
| FaxNumber: | 9543785381 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2019 | ||||||||
| LastUpdateDate: | 09/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MH16283 | FL | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.