1770863144 NPI number — ROBYN D GARCIA M.S., LMFT #83228

Table of content: ROBYN D GARCIA M.S., LMFT #83228 (NPI 1770863144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770863144 NPI number — ROBYN D GARCIA M.S., LMFT #83228

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARCIA
Provider First Name:
ROBYN
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., LMFT #83228
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BETHELL
Provider Other First Name:
ROBYN
Provider Other Middle Name:
D
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., MFT INTERN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770863144
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10603 MIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93314-8182
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-237-9445
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
841 MOHAWK ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-1500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-487-1778
Provider Business Practice Location Address Fax Number:
661-215-5919
Provider Enumeration Date:
08/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LMFT #83228 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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