Provider Demographics
NPI:1427940030
Name:GARCIA, MIRANDA MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:MARIE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2441
Mailing Address - Country:US
Mailing Address - Phone:817-851-4815
Mailing Address - Fax:
Practice Address - Street 1:6202 IOLA AVE STE 133
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2729
Practice Address - Country:US
Practice Address - Phone:806-891-8995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty