Provider Demographics
NPI:1487246880
Name:GARCIA, ANTONIA CELESTE
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:CELESTE
Last Name:GARCIA
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 1:1600 SANTAVY ST APT 5201
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2471
Mailing Address - Country:US
Mailing Address - Phone:956-324-2140
Mailing Address - Fax:
Practice Address - Street 1:1600 SANTAVY ST APT 5201
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2471
Practice Address - Country:US
Practice Address - Phone:956-324-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional