| Child And Family Guidance Center Of Texoma | |
|
804 Pecan Grove Rd E Sherman TX 75090-1767 | |
| (903) 893-7768 | |
| (903) 893-4979 |
| Full Name | Child And Family Guidance Center Of Texoma |
|---|---|
| Speciality | Counselor |
| Location | 804 Pecan Grove Rd E, Sherman, Texas |
| Authorized Official Name and Position | Brenda Hayward (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9038937768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Guidance Center Of Texoma 804 Pecan Grove Rd E Sherman TX 75090-1767 Ph: (903) 893-7768 | Child And Family Guidance Center Of Texoma 804 Pecan Grove Rd E Sherman TX 75090-1767 Ph: (903) 893-7768 |
| NPI Number | 1659336345 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 07/22/2008 |
| Medicare PECOS PAC ID | 7911246657 |
|---|---|
| Medicare Enrollment ID | O20190225002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659336345 | NPI | - | NPPES |
| 82844L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 83590L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 084154602 | Medicaid | TX | |
| 5390719 | Other | TX | INDIVIDUAL AETNA NUMBER |
| 00N35N | Other | TX | BCBS GROUP NUMBER |
| 83343L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 87190Q | Other | TX | INDIVIDUAL BCBS NUMBER |
| 84347L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 084154601 | Medicaid | TX |
| Provider Name | Nicole Elaine Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326796715 PECOS PAC ID: 6709263239 Enrollment ID: I20220521000332 |
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