MEDICARE: AFGO COUNSELING RESOURCES, INCORPORATED

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	61113	TX
2	101YP2500X	Professional Counselor	20352	TX

General Provider Information

NPI Number	:	1447351861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFGO COUNSELING RESOURCES, INCORPORATED

Provider Business Mailing Address
First Line	:	1227 N VALLEY MILLS DR
Second Line	:	SUITE # 206
City	:	WACO
State	:	TX
Zip	:	76710-4427
Country	:	US
Telephone Number	:	254-644-8267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1227 N VALLEY MILLS DR
Second Line	:	SUITE # 206
City	:	WACO
State	:	TX
Zip	:	76710-4427
Country	:	US
Telephone Number	:	254-644-8267
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SHELLY LEIGH ROGERS
Credential	:	LPC
Telephone Number	:	254-644-8267

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/22/2020

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