| Mental Health Mental Retardation Authority Brazos Valley | |
|
1504 S Texas Ave Bryan TX 77802-1015 | |
| (979) 822-6467 | |
| (979) 821-9448 |
| Full Name | Mental Health Mental Retardation Authority Brazos Valley |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1504 S Texas Ave, Bryan, Texas |
| Authorized Official Name and Position | Bill Kelly (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9798226467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Mental Retardation Authority Brazos Valley 1504 S Texas Ave Bryan TX 77802-1015 Ph: (979) 822-6467 | Mental Health Mental Retardation Authority Brazos Valley 1504 S Texas Ave Bryan TX 77802-1015 Ph: (979) 822-6467 |
| NPI Number | 1710364153 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710364153 | NPI | - | NPPES |
| 1363665 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Jennifer L. Rockett, Ph.d. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2402 Broadmoor Dr, Building Dii Suite 111, Bryan, TX 77802 Phone: 979-450-5320 Fax: 979-713-1245 | |
Pure Mind Works, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 W 17th St, Bryan, TX 77803 Phone: 979-739-4269 | |
Brazos Valley Mental Health And Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2554 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-777-1683 | |
Cra Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sandia Plz, Bryan, TX 77802 Phone: 903-388-6781 | |
Empower Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3841 Sagebriar Dr, Bryan, TX 77802 Phone: 979-985-9503 | |
Brazos Valley Psychological Services Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 704b E 29th St, Bryan, TX 77803 Phone: 979-574-8801 Fax: 979-775-9079 | |
Comprehensive Healthcare Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 415, Bryan, TX 77802 Phone: 979-776-0289 Fax: 979-774-9770 |