MEDICARE: MISTY MCGUFFIN LPC, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134084809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISTY MCGUFFIN LPC, PLLC

Provider Business Mailing Address
First Line	:	7700 BROADWAY STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3260
Country	:	US
Telephone Number	:	210-201-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 CENTERVIEW STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1404
Country	:	US
Telephone Number	:	210-201-5891
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISTY MCGUFFIN
Credential	:	LPC
Telephone Number	:	210-201-5891

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	01/11/2026

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