DR. MARK GARCIA (NPI# 1558789701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558789701 |
| Entity Type | Individual |
| Full Name | DR. MARK GARCIA |
| Credential | PHD |
| Practice Address |
2620 Centenary Blvd Bldg. #3, Suite 207 Shreveport LA 71104-3356 |
| Practice Telephone | 3186767650 |
| Mailing Telephone | 3186767650 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1098 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LIC TO PRACTICE PSYCHOLOGY | 1098 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861847048 | Mark Christopher Garcia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave Rm A2-410, Los Angeles, CA 90095-4402 | 2016-04-26 |
| 1750796520 | Mark Garcia | Behavioral Analyst | 8600 W Highway 71, Apartment # 327, Austin, TX 78735-8002 | 2014-06-30 |
| 1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
| 1942260088 | Mark Garcia | Radiology | 701 N. Clayton St, Medical Office Building Suite 401, Wilmington, DE 19805 | 2006-03-24 |
| 1154943413 | Mark M Garcia | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-05-09 |
| 1952960478 | Mark Garcia | Speech-Language Pathologist | 7749 Normandy Blvd Ste 147, Jacksonville, FL 32221-7658 | 2019-06-08 |
| 1225489693 | Mark Garcia | Social Worker | 669 Castleton Ave, Staten Island, NY 10301-2028 | 2016-06-28 |
| 1629363379 | Mark Antoine Garcia | Counselor | 66 Pavilion Ave., Providence, RI 02905 | 2011-06-10 |
| 1275776866 | Mark Edward Garcia | Internal Medicine | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2009-04-12 |
| 1740350974 | Mark Garcia | Physical Therapist | 340 Plaza Rd, Kingston, NY 12401-2975 | 2006-11-08 |
| Street Address |
2620 CENTENARY BLVD BLDG. #3, SUITE 207 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245270768 | Jacqueline Yvonne Manwaring | Counselor | 2620 Centenary Blvd, Suite306, Shreveport, LA 71104-3356 | 2006-06-07 |
| 1578071932 | Labrisha Denise Greene | Counselor | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2018-01-18 |
| 1972039410 | Jamaal Stephens | Case Manager/Care Coordinator | 2620 Centenary Blvd, Suite 207, Shreveport, LA 71104-3356 | 2017-05-03 |
| 1265965768 | Fekei Michelle Loveless | Counselor | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2017-04-11 |
| 1306398631 | Family First Care Services LLC | Home Health | 2620 Centenary Blvd, Building 3 Suite 174, Shreveport, LA 71104-3356 | 2016-11-03 |
| 1154775260 | Katlin Willey | Counselor | 2620 Centenary Blvd, 312, Shreveport, LA 71104-3356 | 2016-04-15 |
| 1134589302 | Fredrick Pinkney | Case Manager/Care Coordinator | 2620 Centenary Blvd, Building 3 Ste M2, Shreveport, LA 71104 | 2016-03-02 |
| 1972977254 | Felecia R Fox | Case Manager/Care Coordinator | 2620 Centenary Blvd, Shreveport, LA 71104 | 2015-11-24 |
| 1093188336 | Reginald Goree | Behavioral Analyst | 2620 Centenary Blvd, Shreveport, LA 71104-3356 | 2015-11-09 |
| 1700259025 | Essie Holt | Counselor | 2620 Centenary Blvd, Building 3 Ste 312, Shreveport, LA 71104-3356 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518267889 | Jeanne Street, Phd, Appc | Psychologist | 610 Herndon Ave., Shreveport, LA 71101 | 2010-11-02 |
| 1508055187 | Wendi Leigh Johnson Laborde | Psychologist | 2620 Centenary Blvd Ste 120, Shreveport, LA 71104-3349 | 2007-10-18 |
| 1548452832 | Gerald Kenneth Baker | Psychologist | 702 Kings Hwy, Shreveport, LA 71104-4332 | 2007-08-10 |
| 1033273107 | Jeanne Street | Psychologist | 610 Herndon Ave, Shreveport, LA 71101 | 2006-12-21 |
| 1700983251 | Milton Rhea | Psychologist | 510 E. Stoner Ave, Shreveport, LA 71101 | 2006-09-19 |
| 1730168139 | Alan Lee Rogers | Psychologist | 257 Atkins Ave, Shreveport, LA 71104-4537 | 2006-01-13 |
| 1316577141 | Jennifer L Russell, Psychologist, LLC | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1215309620 | Sarah Watts Drummond | Psychologist | 707 Southfield Rd, Shreveport, LA 71106-2219 | 2015-10-24 |
| 1972947034 | Steven D Abney | Psychologist | 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 | 2013-04-19 |
| 1407198328 | Shannon A Bruno | Psychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2013-03-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on DR. MARK GARCIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.