HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER (NPI# 1639399132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639399132 |
| Entity Type | Organization |
| Organization Name | HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER |
| Practice Address |
110 S 12th St Waco TX 76701-1810 |
| Mailing Address |
Po Box 890 Waco TX 76703-0890 |
| Practice Telephone | 2547523451 |
| Practice Fax Number | 2547563133 |
| Mailing Telephone | 2547523451 |
| Mailing Fax Number | 2547563133 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. DANIEL THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2547523451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
00R667 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 084859002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407224199 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 2220 Austin Ave, Waco, TX 76701-1625 | 2015-09-11 |
| 1154405371 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Jane St, Groesbeck, TX 76642-4912 | 2006-10-24 |
| 1194809459 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 108 W Ward Dr, Robinson, TX 76706-5651 | 2006-10-24 |
| 1881778025 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 3420 W Waco Dr, Waco, TX 76710-5437 | 2006-10-24 |
| 1952485195 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2006-10-24 |
| 1619067485 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2323 N 39th St, Waco, TX 76708-3003 | 2006-10-13 |
| 1003906876 | Heart of Texas Region Mental Health Mental Retardation Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Parkside Dr, Groesbeck, TX 76642-1125 | 2006-10-13 |
| 1861860892 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2015-09-08 |
| 1033517099 | Heart of Texas Region Mental Health Mental Retardation Center | Community/Behavioral Health | 110 S 12th St, Waco, TX 76701-1810 | 2014-12-08 |
| 1972687119 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 110 S 12th St, Waco, TX 76701-1810 | 2006-10-24 |
| Street Address |
110 S 12TH ST |
| City | WACO |
| State | TX |
| Zip Code | 76701-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
| 1639792534 | Ana Chatham | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2020-05-26 |
| 1689293235 | Dorothy Clark | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2020-04-14 |
| 1881243715 | Ashley Rosenstein | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-09-04 |
| 1346802337 | Mealika D. Brown | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2019-07-01 |
| 1184189110 | John Mccoy | Nurse Practitioner | 110 S 12th St, Waco, TX 76701-1810 | 2019-02-04 |
| 1710455563 | Kaylyn Muscarello | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2018-11-09 |
| 1053828681 | Chelsea Layne Kramer | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2018-01-04 |
| 1225544919 | Joy Pfanner | Social Worker | 110 S 12th St, Waco, TX 76701-1810 | 2017-12-18 |
| 1891209136 | Heather Travers | Counselor | 110 S 12th St, Waco, TX 76701-1810 | 2017-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
| 1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
| 1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
| 1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
| 1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
| 1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
| 1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| 1023379104 | Lianda Mirella Martinez | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2012-06-05 |
| 1508155128 | A&b Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2029 Washington Ave, Waco, TX 76701-1014 | 2011-04-04 |
| Find all providers in zip 76701 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629102983 | Heart of Texas Mental Health Mental Retardation Center | Clinic/Center | 110 S 12th St, Waco, TX 76701-1810 | 2007-03-16 |
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| 1699313858 | U'nique Saferides Transportation LLC | Clinic/Center | 301 Terra Ln, Longview, TX 75605-3429 | 2019-12-18 |
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| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1154975449 | The Wellness Loft, LLC | Clinic/Center | 13960 Hillcroft St Apt 1014, Houston, TX 77085-1514 | 2019-07-25 |
| 1396303574 | At Home Lymphatic Wellness | Clinic/Center | 9898 Bissonnet St Ste 665, Houston, TX 77036 | 2019-06-03 |
| 1225518418 | Carita Davis-dobbins | Clinic/Center | 8775 Othello St, Houston, TX 77029-3353 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER.
| 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.