Provider Demographics
NPI:1144989468
Name:GARCIA, JUANA (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:JUANA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 ATLAS DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-8025
Mailing Address - Country:US
Mailing Address - Phone:817-403-0821
Mailing Address - Fax:
Practice Address - Street 1:4013 ATLAS DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-8025
Practice Address - Country:US
Practice Address - Phone:817-403-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist