| Concho Valley Center For Human Advancement | |
|
244 N Magdalen St San Angelo TX 76903-5434 | |
| (325) 658-7750 | |
| (325) 658-8381 |
| Full Name | Concho Valley Center For Human Advancement |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 N Magdalen St, San Angelo, Texas |
| Authorized Official Name and Position | Gregory J Rowe (CEO) |
| Authorized Official Contact | 3256587750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concho Valley Center For Human Advancement 1501 W Beauregard Ave San Angelo TX 76901-4004 Ph: (325) 658-7750 | Concho Valley Center For Human Advancement 244 N Magdalen St San Angelo TX 76903-5434 Ph: (325) 658-7750 |
| NPI Number | 1164479192 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 7719936533 |
|---|---|
| Medicare Enrollment ID | O20050119000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164479192 | NPI | - | NPPES |
| 109483102 | Medicaid | TX | |
| 127323701 | Medicaid | TX | |
| 127323702 | Medicaid | TX | |
| 127323704 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Florence F Eddins Folensbee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700966041 PECOS PAC ID: 5890727754 Enrollment ID: I20050831000702 |
| Provider Name | Sherry D Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609057108 PECOS PAC ID: 5496831380 Enrollment ID: I20080318000235 |
| Provider Name | Cynthia M Sigur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619151636 PECOS PAC ID: 2062583016 Enrollment ID: I20080623000612 |
| Provider Name | Charlotte L Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326204405 PECOS PAC ID: 2466528302 Enrollment ID: I20080829000252 |
| Provider Name | Christie N Winfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235426172 PECOS PAC ID: 4688822661 Enrollment ID: I20120917000566 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Sally Dyan Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463559 PECOS PAC ID: 8224268925 Enrollment ID: I20140225001058 |
| Provider Name | Uchenna O Nwanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386070977 PECOS PAC ID: 4789811696 Enrollment ID: I20150105001715 |
| Provider Name | Tera K Waldroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710250055 PECOS PAC ID: 7719204320 Enrollment ID: I20150319000947 |
| Provider Name | Heath B Foreman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871819755 PECOS PAC ID: 6709192883 Enrollment ID: I20150903002532 |
| Provider Name | Anthony Ross Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710341508 PECOS PAC ID: 8820382781 Enrollment ID: I20160816000940 |
| Provider Name | Consuela D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
| Provider Name | Grace Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563574 PECOS PAC ID: 2365799723 Enrollment ID: I20200403001665 |
| Provider Name | Abigail Chekenyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457938573 PECOS PAC ID: 0244639763 Enrollment ID: I20210602002806 |
| Provider Name | Leandra M Pecina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720856263 PECOS PAC ID: 8820433006 Enrollment ID: I20240227003336 |
| Provider Name | Blake A Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396314852 PECOS PAC ID: 7517304959 Enrollment ID: I20240321001497 |
| Provider Name | Armando Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033459052 PECOS PAC ID: 7214376615 Enrollment ID: I20240418000930 |
| Provider Name | Michael J Dotson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831213826 PECOS PAC ID: 7911323597 Enrollment ID: I20250109001692 |
| Provider Name | Omid Soltani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538161815 PECOS PAC ID: 8224092101 Enrollment ID: I20250217002252 |
West Texas Counseling & Guidance Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 600, San Angelo, TX 76903 Phone: 325-944-2561 Fax: 325-939-2019 | |
Regional Employee Assistance Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4000 | |
Educare Community Living Corporation - Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 S Chadbourne St, Suite 200, San Angelo, TX 76903 Phone: 325-486-1344 | |
Marie Martinez, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Lakeside Ave, San Angelo, TX 76901 Phone: 325-812-5557 | |
Pat L Pastors Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-234-5164 Fax: 325-610-6122 | |
Transforming Lives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3157 Executive Dr, San Angelo, TX 76904 Phone: 325-757-1275 | |
Rhonda Turpin, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Colorado Ave, San Angelo, TX 76901 Phone: 661-524-5889 |