Provider Demographics
NPI:1942171756
Name:GARFIELD, GLORIA SOPHIA AZUCENA
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:SOPHIA AZUCENA
Last Name:GARFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GLORIA
Other - Middle Name:SOPHIA AZUCENA
Other - Last Name:LENTNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19401 40TH AVE W STE 100
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19401 40TH AVE W STE 100
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5600
Practice Address - Country:US
Practice Address - Phone:657-444-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician