Pecan Valley Mhmr Region

LBN: Pecan Valley Mhmr Region
Pecan Valley Mhmr Region is an health care organization with primary practice located at 2101 W Pearl St , Granbury TX 76048-1894. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Pecan Valley Mhmr Region can be contacted via phone (817) 579-4400, or through Leonard, Michelle L via phone (817) 579-4400.

Contact Information

Primary practice address
2101 W Pearl St Granbury TX 76048-1894
Phone: (817) 579-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leonard, Michelle L
Phone: (817) 579-4400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1891915708
LBN Legal business name Pecan Valley Mhmr Region
DBA Doing business as
Authorized official Leonard, Michelle L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891915708 NPPES
Texas MEDICAID 130724106

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