Crystal Nicole Garcia, LMHC, LCACA, NCC | |
3503 Martin Luther King Dr, Gary, IN 46409-1233 | |
(219) 880-1190 | |
Not Available |
Full Name | Crystal Nicole Garcia |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3503 Martin Luther King Dr, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639879570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87900042A (Indiana) | Secondary |
101YM0800X | Counselor - Mental Health | 39004337A (Indiana) | Primary |
Entity Name | Porter-starke Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Mailing Address | Practice Location Address |
---|---|
Crystal Nicole Garcia, LMHC, LCACA, NCC 12334 Perry St, Crown Point, IN 46307-7229 Ph: (219) 775-4161 | Crystal Nicole Garcia, LMHC, LCACA, NCC 3503 Martin Luther King Dr, Gary, IN 46409-1233 Ph: (219) 880-1190 |
Mr. Robyn L Pugh-dunlap, M.S. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Grant St, Suite 204, Gary, IN 46404 Phone: 219-887-3570 Fax: 219-887-3574 | |
Austin Jerome Malone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4905 Melton Rd, Gary, IN 46403 Phone: 219-808-0793 Fax: 765-374-0761 | |
Shanell Lithrese Hightower, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Claude Ann Poupolos, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-886-1332 | |
La Donna Thomas, CADC, MISA I Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Melton Rd, Gary, IN 46403 Phone: 219-938-4651 Fax: 219-938-4679 | |
Yvette Barksdale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Georgia St, Gary, IN 46402 Phone: 219-902-6307 Fax: 219-882-0210 | |
Darius Brannon, B.A., CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th Ave, Gary, IN 46402 Phone: 219-885-6424 |