PERMIAN BASIN COMMUNITY CENTER FOR MHMR


Address: 401 E Illinois Ave, Suite 401, Midland, TX 79701-4803
Phone: 4325703333

PERMIAN BASIN COMMUNITY CENTER FOR MHMR (NPI# 1518342955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518342955
Entity Type Organization
Organization Name PERMIAN BASIN COMMUNITY CENTER FOR MHMR
Practice Address 401 E Illinois Ave
Suite 401
Midland
TX 79701-4803
Practice Telephone 4325703333
Practice Fax Number 4325703346
Mailing Telephone 4325703333
Mailing Fax Number 4325703346
Enumeration Date 2015-07-28
Last Update Date 2015-07-28
Authorized Official Name RAMONA THOMAS (C.E.O.)
Authorized Official Telephone 4325703333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 401 E ILLINOIS AVE
SUITE 401
City MIDLAND
State TX
Zip Code 79701-4803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477560068 Permian Basin Community Centers for Mhmr Clinic/Center 401 E Illinois Ave, Ste 400, Midland, TX 79701 2006-08-03
1063049724 Michael David Mendoza Physical Therapist 401 E Illinois Ave, Midland, TX 79701-4803 2020-03-24
1306488457 Abbie Jordan Elphick Speech-Language Pathologist 401 E Illinois Ave, Midland, TX 79701-4803 2019-10-10
1043713274 Stephanie Test Occupational Therapist 401 E Illinois Ave, Midland, TX 79701-4803 2018-03-14
1396142931 Midland Community Healthcare Services Family Medicine 401 E Illinois Ave, Midland, TX 79701-4803 2014-11-25
1679981971 Natalie Dewitt Counselor 401 E Illinois Ave, Suite 100, Midland, TX 79701-4803 2014-07-30
1598109746 Leah Nadine Vernia-amend Counselor 401 E Illinois Ave, Ste 400, Midland, TX 79701-4803 2013-04-18
1609119395 Candace D Mahaffey Counselor 401 E Illinois Ave, Midland, TX 79701-4803 2013-04-01
1003124926 Paul James Brazinskas Counselor 401 E Illinois Ave, Midland, TX 79701-4803 2010-09-14
1700193059 Shirley Kaye Arkadie Counselor 401 E Illinois Ave, Midland, TX 79701-4803 2010-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1003441460 Kendra Denise Alexander Nurse Practitioner 911 West Texas Ave, Midland, TX 79701 2020-03-06
1528531134 Bliss Rankin Dentistry Pllc Dentist 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 2019-01-07
1891209540 Sleep Interventions, LLC Durable Medical Equipment & Medical Supplies 2300 W Michigan Ave Ste 2, Midland, TX 79701 2017-11-16
1457899940 Bonolo Blessed Odirile Dentist 2101 Midland Drive, #14, Midland, TX 79701 2017-02-06
1700235603 Lisa Lozano Dba Credence Counseling Counselor 2114 W. Michigan, Midland, TX 79701 2016-06-10
1578809406 Todd Aaron Stack Physician Assistant 1703 Country Club Drive, Midlad, TX 79701 2012-12-20
1134475080 Kathryn G Blonkvist Physical Therapist 301 Dodson St., Midland, TX 79701 2012-07-30
1487953303 Patricia A Homer Counselor 3416 W Wall St Ste 106, Midland, TX 79701 2011-03-17
1548586415 Thomas Caputo Dentist 1411 W. Wall St., Midland, TX 79701 2010-04-15
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
1669418562 Children's Therapy Corner Inc Clinic/Center 1525 Ridgewood Dr, Midland, MI 48642-6425 2006-06-21

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1114548831 Integral Counseling and Wellness, LLC Clinic/Center 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 2020-05-05
1679100986 Sarah Douglas Cox, Lcsw Pllc Clinic/Center 9922 Caleb Way, Missouri City, TX 77459-6472 2020-03-25
1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
1326681354 Evolving Mind Solutions, LLC Clinic/Center 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 2019-10-22
1790335271 Therathrive LLC Clinic/Center 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 2019-09-16
1932754363 Proactive Behavior & Solutions Clinic/Center 2626 Scenic Point, Arlington, TX 76006 2019-08-02
1073175576 Remuda Ranch Counseling Services Clinic/Center 10333 Remuda View Dr, San Antonio, TX 78254-1759 2019-07-03
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Competitor

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City MIDLAND
Zip Code 79701

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Dataset Information

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.

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