Provider Demographics
NPI:1811795347
Name:SILVA, ELIZABETH GARCIA
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GARCIA
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 SOUTH VERMILLION AVENUE
Mailing Address - Street 2:UNIT 90 ODC
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:954-218-7488
Mailing Address - Fax:
Practice Address - Street 1:9666 BUSINESSPARK AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1646
Practice Address - Country:US
Practice Address - Phone:858-376-7195
Practice Address - Fax:844-364-4331
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205649106H00000X
CAAMFT148754106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist