Individual ProviderBryan Edward GarciaCounselorBehavioral Health & Social Service ProvidersPractice Address11185 Lake Blvd, Chisago City, MN 55013-9817(651) 755-4276PECOS EnrollmentBased on the most recent information from CMS, provider Bryan Edward Garcia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1851271639Provider TypeIndividualFull NameGarcia, Bryan EdwardCredentialLPCCGenderMaleSole ProprietorNoEnumeration Date9/3/2025Last Updated9/3/2025Contact InformationPractice LocationPractice Address11185 Lake Blvd, Chisago City, MN 55013-9817Phone(651) 755-4276Fax(888) 972-5307Mailing LocationMailing Address6438 Riverdale Dr NW, Ramsey, MN 55303-4809Phone(651) 755-4276Fax(888) 972-5307Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense5172MinnesotaProvider IdentifiersIDDescriptionIssuerID1174955397DescriptionMedicaidIssuerUnlistedMinnesota