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Contact Information

FAMILY AND CHILD GUIDANCE CENTER
317 NORTH 12TH
SUITE 1
CORSICANA, TX75110
 Phone: 214-351-3490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for FAMILY AND CHILD GUIDANCE CENTER

NPI Number 1245776897
LBN Legal business name FAMILY AND CHILD GUIDANCE CENTER
Authorized official JEFF KEEHN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2017
Last updated 01/06/2017 - About 9 years ago
Identifiers
TX Medicaid 084682601
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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