MEDICARE: EAST TEXAS FAMILY GUIDANCE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1205783727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST TEXAS FAMILY GUIDANCE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2498
Second Line	:
City	:	ATHENS
State	:	TX
Zip	:	75751-7498
Country	:	US
Telephone Number	:	903-880-2334
Fax Number	:	888-688-4491

Provider Business Practice Location Address
First Line	:	600 S PALESTINE ST STE 201
Second Line	:
City	:	ATHENS
State	:	TX
Zip	:	75751-3323
Country	:	US
Telephone Number	:	903-880-2334
Fax Number	:	888-688-4491

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARGARET SUMMER ALLAN
Credential	:	LCSW-S
Telephone Number	:	903-880-2334

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “EAST TEXAS FAMILY GUIDANCE CENTER ” Practice Location

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