Supportive Shores: Family & Therapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORTIVE SHORES: FAMILY & THERAPY SERVICES

Practice address

203 Kaufman St N
Mount Vernon, TX 75457-2309

Phone

(903) 347-2727

NPI assigned

Aug 26, 2026

Last updated

Sep 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Marie Agan, MSW, LCSWNPI 1316522600

Title

Owner

Phone

(903) 347-2727

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Marie Agan, LMSW

  • Clinical Social Worker
  • Mount Vernon, TX
  • NPI 1316522600
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1104733831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754570841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KAUFMAN ST N",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754572309",
            "telephone_number": "903-347-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SHORES: FAMILY & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "AGAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-347-2727",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rule Pediatric Therapy Services
• Serenity Plus Home Health Inc.
• Kassie R Songer, PMHNP
• Stratford Hospital District (Caraday of Mount Vernon)
• Strive Rehabilitation
• Terry Haven Nursing and Rehabilitation LP
• Nita Katherine Thompson, LPC
• Tigerx LLC (TIGERx Pharmacy)
• Titus County Hospital District (Family Care Center Mt Vernon)
• Titus County Hospital District (Family Care Center Mt Vernon)

• Clinical Social Worker in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.