PECAN VALLEY MHMR REGION (NPI# 1225309537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225309537 |
| Entity Type | Organization |
| Organization Name | PECAN VALLEY MHMR REGION |
| Other Organization Name | PECAN VALLEY CENTERS FOR BEHAVIORAL AND DEVELOPMENTAL HEALTHCARE |
| Practice Address |
1601 N Anglin St Cleburne TX 76031-1835 |
| Mailing Address |
Po Box 729 Granbury TX 76048-0729 |
| Practice Telephone | 8176487133 |
| Practice Fax Number | 8176453032 |
| Mailing Telephone | 8175794400 |
| Mailing Fax Number | 8175794407 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MR. COKE BEATTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8175794400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
3492-3493 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pecan Valley Centers for Behavioral and Developmental Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 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 |
| Street Address |
1601 N ANGLIN ST |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76031-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518003409 | Srinivas Pasunoori Reddy | Psychiatry & Neurology | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2007-01-29 |
| 1518503051 | Sandra Umuhoza | Nurse Practitioner | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2019-11-19 |
| 1528560844 | Stacy Sue Crownover | Nurse Practitioner | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2018-03-02 |
| 1659811933 | Elizabeth Wilson | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2017-03-06 |
| 1598165524 | Britni Warren | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2014-08-27 |
| 1811330384 | Benjamin Sperling | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2013-04-15 |
| 1720356108 | Rick G Richesin | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2011-12-13 |
| 1841325644 | Ann M Aprea | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2007-02-22 |
| 1285778738 | Donna Kay Gilmore | Counselor | 1601 N Anglin St, Cleburne, TX 76031-1835 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861973620 | Alycia Sauder | Physical Therapist | 433 Ruby Lane, Cleburne, TX 76031 | 2018-08-28 |
| 1619283744 | Meals On Wheels of Johnson and Ellis Counties Inc. | Meals | 106 E Kilpatrick St, Cleburne, TX 76031 | 2010-08-26 |
| 1801092739 | Jason J Avery | Physical Therapy Assistant | 1108 West Kilpatrik, Cleburne, TX 76031 | 2007-06-26 |
| 1215053772 | Assisted Living Concepts Inc | Assisted Living Facility | 814 Woodard Avenue, Cleburne, TX 76031 | 2007-03-22 |
| 1619093218 | Cleburne Surgical Center, LLC | Clinic/Center | 2010 W Katherine P Raines, Cleburne, TX 76031 | 2007-03-22 |
| 1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
| 1497760813 | Sidney Charles Pruitt IIi | Chiropractor | 103 E Lone Star, Cleburne, TX 76031 | 2006-07-31 |
| 1619497526 | Resilience Coaching and Counseling | Social Worker | 3628 Northcrest Dr, Cleburne, TX 76031 | 2017-06-21 |
| 1225109960 | Ronald Lee Isreal | Social Worker | 4016 Black Oak Dr, Cleburne, TX 76031-0197 | 2006-11-13 |
| 1689605750 | Jan K Curnow | Registered Nurse | 600 Willow Bend St, Cleburne, TX 76031-0313 | 2006-07-06 |
| Find all providers in zip 76031 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1548860406 | Dfw Drug Rehab, LLC | Clinic/Center | 1251 S Sherman St Ste 110, Richardson, TX 75081-6509 | 2020-10-29 |
| 1316553019 | Trinity Health System | Clinic/Center | 13101 Preston Rd Ste 425, Dallas, TX 75240-5278 | 2020-09-17 |
| 1548881683 | South Meadows Recovery, Inc. | Clinic/Center | 15505 Patrica St, Austin, TX 78728-3923 | 2020-04-29 |
| 1376178053 | Liberty Lodge, Inc. | Clinic/Center | 160 Fm 2507, Alice, TX 78332-7763 | 2020-03-03 |
| 1730713769 | Cen-tex Alcoholic Rehabilitation Center, Inc. | Clinic/Center | 2410 E Adams Ave, Temple, TX 76501-4600 | 2020-02-28 |
| 1154953917 | Finch Clinic, Pllc. | Clinic/Center | 1105 Memorial Dr Ste 102, Denison, TX 75020-2043 | 2020-02-10 |
| 1265063689 | Cenikorfoundation | Clinic/Center | 5501 Interstate Hwy 37, Corpus Christi, TX 78408 | 2020-02-04 |
| 1598306862 | Ethos Wellness-the Prairie Recovery Center | Clinic/Center | 5808 Wagner Rd, Round Top, TX 78954-5075 | 2019-10-08 |
| 1619539509 | Arc Counseling LLC | Clinic/Center | 5700 Nw Central Dr Ste 130, Houston, TX 77092-2000 | 2019-07-01 |
| 1982261988 | Davecolephd and Associates | Clinic/Center | 4702 Old Spanish Trl Ste 106, Houston, TX 77021-1718 | 2019-05-24 |
| Find all providers with the same taxonomy | ||||
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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.