ALCOHOL & DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY (NPI# 1093031148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093031148 |
| Entity Type | Organization |
| Organization Name | ALCOHOL & DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY |
| Practice Address |
3553 W Houston Harte Expy San Angelo TX 76901-2664 |
| Mailing Address |
Po Box 3805 San Angelo TX 76902-3805 |
| Practice Telephone | 3252243481 |
| Practice Fax Number | 3252244923 |
| Mailing Telephone | 3252243481 |
| Mailing Fax Number | 3252244923 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | MR. ERIC A SANCHEZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3252243481 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALCOHOL & DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 292-B | TX | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 292-E | TX | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 292-C | TX | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
292C | TX | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALCOHOL & DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY | 3553 Houston Harte, San Angelo, TX 76901-2664 |
| Street Address |
3553 W HOUSTON HARTE EXPY |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76901-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153288 | Rusan Hiebert | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2020-08-05 |
| 1972084077 | Sara Shurbet | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-27 |
| 1275014540 | Griselda Ana Arteaga | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-24 |
| 1821578709 | Laura Suzanne Weaver | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| 1174003057 | Chelsea Lynn Ashton | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| 1265912166 | Slade Gabriel Hogan | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| 1164978706 | Larry Doty | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2016-09-01 |
| 1467906669 | Jerry Wheetley | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2016-08-05 |
| 1629522826 | Jessica Bedingfield | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2016-08-05 |
| 1386198604 | Charles Mcknight | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2016-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043962 | H-e-b, Lp | Clinical Medical Laboratory | 5502 Sherwood Way, San Angelo, TX 76901 | 2017-06-22 |
| 1275053225 | Sherri Nell Burk | Speech-Language Pathologist | 105 Westland, San Angelo, TX 76901 | 2017-06-21 |
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1982078176 | Trust In God Ministries | Case Manager/Care Coordinator | 2727 Freeland Avenue, San Angelo, TX 76901 | 2015-11-25 |
| 1962886234 | Jacquelyn Nila Bowen | Speech-Language Pathologist | 105 Westland Ave., San Angelo, TX 76901 | 2015-07-16 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1417192188 | Dea Health & Educational Services, Inc. | Home Health | 10764 Dennis Dr., San Angelo, TX 76901 | 2008-12-10 |
| 1699813618 | Jose Antonio Contreras Sr. | Counselor | 2307 West Harris, San Angelo, TX 76901 | 2007-02-02 |
| 1821134859 | Carol J Jeffers | Counselor | 2013 West Beauregard Ave, San Angelo, TX 76901 | 2007-01-29 |
| 1346324498 | Sheila King Stewart | Counselor | 1 North Milton, Suite 10, San Angelo, TX 76901 | 2006-10-25 |
| Find all providers in zip 76901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437280534 | West Texas Counselling and Rehabilitation Program of San Angelo, Inc. | Clinic/Center | 601 S Irving St Ste D, San Angelo, TX 76903-6961 | 2007-03-08 |
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| 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 |
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| City | SAN ANGELO |
| Zip Code | 76901 |
Please comment or provide details below to improve the information on ALCOHOL & DRUG ABUSE COUNCIL FOR THE CONCHO VALLEY.
| 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.