| Pecan Valley Mhmr Region | |
|
2101 W Pearl St Granbury TX 76048-1894 | |
| (817) 579-4400 | |
| Not Available |
| Full Name | Pecan Valley Mhmr Region |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2101 W Pearl St, Granbury, Texas |
| Authorized Official Name and Position | Michelle L Leonard (BILLING MANAGER) |
| Authorized Official Contact | 8175794400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecan Valley Mhmr Region 2101 W Pearl St Granbury TX 76048-1894 Ph: (817) 579-4400 | Pecan Valley Mhmr Region 2101 W Pearl St Granbury TX 76048-1894 Ph: (817) 579-4400 |
| NPI Number | 1891915708 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4688627706 |
|---|---|
| Medicare Enrollment ID | O20050301000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891915708 | NPI | - | NPPES |
| 130724106 | Medicaid | TX |
| Provider Name | Carol A Nati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326091075 PECOS PAC ID: 8426957465 Enrollment ID: I20040108000166 |
| Provider Name | Elma Granado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215980644 PECOS PAC ID: 3577534205 Enrollment ID: I20040804001668 |
| Provider Name | Douglas Ghrist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740474519 PECOS PAC ID: 3779660733 Enrollment ID: I20080402000043 |
| Provider Name | Chandrakant H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356409981 PECOS PAC ID: 5597843474 Enrollment ID: I20080417000127 |
| Provider Name | Srinivas P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518003409 PECOS PAC ID: 8123106002 Enrollment ID: I20080417000133 |
| Provider Name | Carolyn M Rekerdres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104020346 PECOS PAC ID: 7911195367 Enrollment ID: I20101229000339 |
| Provider Name | Christina Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326330697 PECOS PAC ID: 2466496344 Enrollment ID: I20120125000163 |
| Provider Name | Naomi Nyakairu Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705320 PECOS PAC ID: 7911283171 Enrollment ID: I20170425000110 |
| Provider Name | Whitney E. Herrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649768466 PECOS PAC ID: 1658635180 Enrollment ID: I20180508002252 |
| Provider Name | Martha E Ozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407319197 PECOS PAC ID: 6507955960 Enrollment ID: I20191113001520 |
| Provider Name | Lindsey E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154905669 PECOS PAC ID: 7810396017 Enrollment ID: I20210520000118 |
| Provider Name | Bridgette B Obinku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396407631 PECOS PAC ID: 6406248210 Enrollment ID: I20220127001576 |
| Provider Name | Cassandra J Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285399147 PECOS PAC ID: 9133512023 Enrollment ID: I20220217001987 |
| Provider Name | Kyle J Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649934985 PECOS PAC ID: 5698160638 Enrollment ID: I20220310000068 |
| Provider Name | Christa Selby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316650948 PECOS PAC ID: 4486024346 Enrollment ID: I20230110002612 |
| Provider Name | Amanda Elaine Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336853910 PECOS PAC ID: 8921472911 Enrollment ID: I20230314001687 |
| Provider Name | Assah J Asongtia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144703216 PECOS PAC ID: 1052775491 Enrollment ID: I20230918003740 |
| Provider Name | Latisha Ann Primrose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891079570 PECOS PAC ID: 3375992597 Enrollment ID: I20231213003806 |
| Provider Name | Barbara Rea Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881477107 PECOS PAC ID: 2769831619 Enrollment ID: I20231218001627 |
| Provider Name | Diana Gail Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700199510 PECOS PAC ID: 5698125003 Enrollment ID: I20231227003151 |
| Provider Name | John Michael Hamed Kharrazi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801542246 PECOS PAC ID: 3971955824 Enrollment ID: I20240117000652 |
| Provider Name | Alysia Rachael Griesheimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558899864 PECOS PAC ID: 3971956095 Enrollment ID: I20240125000640 |
| Provider Name | Herbert Phil Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134323470 PECOS PAC ID: 6507219573 Enrollment ID: I20240125002537 |
| Provider Name | Kourtney Kay Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538872163 PECOS PAC ID: 0648623645 Enrollment ID: I20240125003546 |
| Provider Name | Gary Don Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487426326 PECOS PAC ID: 7416300462 Enrollment ID: I20240126000514 |
| Provider Name | Devin Hooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538945381 PECOS PAC ID: 5092158378 Enrollment ID: I20240205001301 |
Pecan Valley Centers For Behavioral And Developmental Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W. Pearl St., Granbury, TX 76048 Phone: 817-579-4400 Fax: 817-579-4407 | |
Benthambenterprises, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4710 Esplanade Ct, Granbury, TX 76049 Phone: 817-219-4599 Fax: 817-219-4599 | |
Counseling By Penny Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 Mallard Way, Granbury, TX 76048 Phone: 817-657-1115 | |
Willow Mark Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W Pearl St, Granbury, TX 76048 Phone: 817-578-6775 | |
Autism Solutions Of Granbury, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Southtown Dr Ste 113, Granbury, TX 76048 Phone: 817-894-7469 | |
Amy J Aston Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 416 S Morgan St, Granbury, TX 76048 Phone: 817-579-1606 Fax: 817-579-1654 | |
Longview Neurological Clinic Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2441 E Us Highway 377, Suite 105, Granbury, TX 76049 Phone: 903-235-0319 |