| Doctor Name: | DR. OCTAVIA LASHAWN GARRETT |
| NPI Number: | 1356574339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 4001 King Ave Corcoran, CA - 932129611 |
| Business Phone Number: | 5599928800 |
| Business Fax Number: | |
| Mailing Address: | 1900 Rice Mine Rd N, #717 TUSCALOOSA |
| State: | AL |
| Postal Code: | 354062399 |
| Phone Number: | 2142741713 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2009 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |