Provider Demographics
NPI:1548296783
Name:GARCIA, MARIO JR (LMHC, CAPP)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:LMHC, CAPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10691 N KENDALL DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1551
Mailing Address - Country:US
Mailing Address - Phone:786-281-4767
Mailing Address - Fax:786-524-5988
Practice Address - Street 1:10691 N KENDALL DR
Practice Address - Street 2:SUITE 304
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1551
Practice Address - Country:US
Practice Address - Phone:786-281-4767
Practice Address - Fax:786-524-5988
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL202101YA0400X
FLMH8740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health