Garcia, Mark
Garcia, Mark is an individual health care provider with primary practice located at 2620 Centenary Blvd Bldg. #3, Suite 207, Shreveport LA 71104-3356. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garcia, Mark can be contacted via phone (318) 676-7650.Contact Information
Primary practice address
2620 Centenary Blvd Bldg. #3, Suite 207
Shreveport LA 71104-3356
Phone: (318) 676-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1098 | Louisiana |
Profile Details
| NPI number | 1558789701 |
|---|---|
| LBN Legal business name | Garcia, Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2014 |
| Last updated | Apr 4th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558789701 | NPPES |
| Louisiana | Other | 1098 | LIC TO PRACTICE PSYCHOLOGY |
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