Provider Demographics
NPI:1750105904
Name:GARCIA COLOM, ERLINDA (LPC)
Entity type:Individual
Prefix:
First Name:ERLINDA
Middle Name:
Last Name:GARCIA COLOM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69-33 CALLE 57
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-4933
Mailing Address - Country:US
Mailing Address - Phone:787-212-9493
Mailing Address - Fax:
Practice Address - Street 1:69-33 CALLE 57
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4933
Practice Address - Country:US
Practice Address - Phone:787-212-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health