# GERALD ROGERS, M.A., M.S.W., PH.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Pines on Golden Pond
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033444328
- **Authorized official:** GERALD W ROGERS LCSW, LPC (OWNER)
- **Authorized official phone:** (806) 354-9996

## Contact information

- **Practice address:** 7480 GOLDEN POND PL, SUITE 400, AMARILLO, TX 79121-1962
- **Practice address phone:** (806) 354-9996
- **Practice address fax:** (806) 354-9995
- **Mailing address:** PO BOX 50660, AMARILLO, TX 79159-0660
- **Mailing address phone:** (806) 354-9996
- **Mailing address fax:** (806) 354-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 2622 | TX | — |
| 1041C0700X | Clinical Social Worker | 00732 | TX | Yes |

## Other

- **Enumeration date:** 10/05/2009
- **Last updated:** 10/05/2009