Letcia Garcia, LMHC
Individual provider Active NPI Mental Health Counselor · Anthony, NM
NPI 1699267880 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1699267880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTL0196311 (NM)
- Practice address
- 785 Anthony Drive
Anthony, NM 88021-2671 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTL0196311 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Center | Past |
Accepting new patients | |
| Amanecer Community Counseling Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTL0196311 | NM | Yes |
Addresses
Primary practice location
785 Anthony Drive
Anthony, NM 88021-2671
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35650338 | Medicaid | NM |
Other providers in Anthony, NM
- David Fermin Gallegos
- Jose Eduardo Gallegos
- George Gamon
- Maria Socorro Gamon
- Joselin Angelica Garcia Moya
- Irene Gomez
- Aida Y. Gonzales
- Marisol Uribe Gonzales
- Daniel Gonzalez
- Alana Denise Grajeda
All providers in Anthony, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.