Healthcare Provider Details

I. General information

NPI: 1679404628
Provider Name (Legal Business Name): ANGIE GUYMON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N FANNIN AVE
DENISON TX
75020-3118
US

IV. Provider business mailing address

633 HOYT DR
COLBERT OK
74733-1637
US

V. Phone/Fax

Practice location:
  • Phone: 903-647-0457
  • Fax:
Mailing address:
  • Phone: 903-647-0457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number94798
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: