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FAMILY AND CHILD GUIDANCE CENTER NPI 1255876421


NPI Information

NPI: 1255876421
Provider Name: FAMILY AND CHILD GUIDANCE CENTER

Doing Business As: CHILD AND FAMILY GUIDANCE CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1305 W JEFFERSON ST
SUITE 210
WAXAHACHIE, TX
ZIP 75165
Phone: (866) 935-9700
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FAMILY AND CHILD GUIDANCE CENTER is a mental health counselor in Waxahachie, TX. FAMILY AND CHILD GUIDANCE CENTER NPI is 1255876421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Child And Family Guidance Center.

The provider's business location address is:

1305 W JEFFERSON ST
SUITE 210
WAXAHACHIE, TX
ZIP 75165-269
Phone: (866) 935-9700

The provider's authorized official is Jeff Keehn .
The authorized official title is Cfo and has the following contact phone number (214) 351-3490.

The enumeration date for this NPI number is 12/27/2016 and was last updated on 12/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthTEXASYes
2101YP2500XCounselorProfessionalTEXASNo
3104100000XSocial WorkerTEXASNo
41041C0700XSocial WorkerClinicalTEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1084682601MEDICAIDTEXAS
200R17CMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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