PECAN VALLEY MHMR REGION (NPI# 1013257799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013257799 |
| Entity Type | Organization |
| Organization Name | PECAN VALLEY MHMR REGION |
| Other Organization Name | PECAN VALLEY CENTERS FOR BEHAVIORAL AND DEVELOPMENTAL HEALTHCARE |
| Practice Address |
2101 W. Pearl St. Granbury TX 76048 |
| Mailing Address |
Po Box 729 Granbury TX 76048-0729 |
| Practice Telephone | 8175794400 |
| Practice Fax Number | 8175794407 |
| Mailing Telephone | 8175794400 |
| Mailing Fax Number | 8175794407 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Authorized Official Name | COKE BEATTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8175794400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Pecan Valley Centers for Behavioral and Developmental Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376763284 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 271 Diamond Ln N, Burleson, TX 76028-6729 | 2007-04-26 |
| 1467672378 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 Quail Park Ln, Cleburne, TX 76031-7731 | 2007-04-26 |
| 1578781605 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2901 Fm 2280, Cleburne, TX 76031-7803 | 2007-04-23 |
| 1710105812 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 S Mill St, Weatherford, TX 76086-5734 | 2007-04-23 |
| 1043438153 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Nw 23rd St, Mineral Wells, TX 76067-2998 | 2007-04-23 |
| 1073731105 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1018 Highland Rd, Cleburne, TX 76033-8615 | 2007-04-23 |
| 1508084625 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Littlebrook Rd, Joshua, TX 76058-4816 | 2007-04-23 |
| 1942428065 | Pecan Valley Mhmr Region | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 908 Brown Crest Rd, Burleson, TX 76028-5136 | 2007-04-23 |
| 1083733364 | Pecan Valley Mhmr Region | Case Management | 650 W Green St, Stephenville, TX 76401-3311 | 2007-03-28 |
| 1225309537 | Pecan Valley Mhmr Region | Clinic/Center | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2012-01-18 |
| Street Address |
2101 W. PEARL ST. |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| 1700055423 | Lakeside Family Care Clinic | Preferred Provider Organization | 900 Whitehead Dr., Granbury, TX 76048 | 2008-02-27 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841669074 | Zoe Loth | Counselor | 2111 W Us Highway 377, Granbury, TX 76048-5627 | 2015-09-17 |
| 1023378551 | Rebecca Jones | Counselor | 2111 W Highway 377, Granbury, TX 76048-5627 | 2012-05-17 |
| 1346518735 | Vicki L Rohall | Counselor | 104 Pirate Dr, Granbury, TX 76048-5682 | 2011-12-13 |
| 1902121668 | Stephen W Wright | Counselor | 1209 Stanton Ct, Granbury, TX 76048-1761 | 2010-04-06 |
| 1689843724 | Misty M Edwards | Counselor | 2111 W Hwy 377, Granbury, TX 76048-5627 | 2008-02-22 |
| 1780740480 | Dale Edmiaston | Counselor | 5606 Hondo Drive, Granbury, TX 76049 | 2006-12-28 |
| 1093184012 | Chancey Marie Ruiz | Counselor | 2111 W Us Highway 377, Granbury, TX 76048-5627 | 2015-09-21 |
| 1225389901 | Corey Patrick Pavelka | Counselor | 2111 W Highway 377, Granbury, TX 76048-5627 | 2012-09-21 |
| 1205112570 | Wanda E Murga | Counselor | 2111 W Hwy 377, Granbury, TX 76048-5627 | 2011-10-31 |
| 1831420173 | David N Bryant | Counselor | 2111 W Hwy 377, Granbury, TX 76048-5627 | 2010-01-27 |
| Find all providers in GRANBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.