=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093868267
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST TEXAS COUNSELING & GUIDANCE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2007
-----------------------------------------------------
Last Update Date | 05/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 36 E TWOHIG AVE STE 600
-----------------------------------------------------
City | SAN ANGELO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76903-6433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-944-2561
-----------------------------------------------------
Fax | 325-939-2019
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 36 E TWOHIG AVE STE 600
-----------------------------------------------------
City | SAN ANGELO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76903-6433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-944-2561
-----------------------------------------------------
Fax | 325-939-2019
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MR. DUSTIN SCOTT MCCOY
-----------------------------------------------------
Credential | LPC-S
-----------------------------------------------------
Telephone | 325-944-2561
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------