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General NPI Number Information
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NPI Number | 1649442310
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Entity Type | Organization
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Legal Business Name | PERMIAN BASIN COMMUNITY CENTERS FOR MENTAL HEALTH & MENTAL RETARDATION
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 401 E ILLINOIS AVE STE 400
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City | MIDLAND
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State | TX
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Zip | 79701-4803
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Country | US
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Telephone | 432-570-3333
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Fax | 432-570-3426
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Provider Business Mailing Address
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Address Line | 401 E ILLINOIS AVE STE 400
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City | MIDLAND
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State | TX
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Zip | 79701-4803
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Country | US
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Telephone | 432-570-3333
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Fax | 432-570-3426
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. CHRIS BARNHILL
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Credential | CPA
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Telephone | 432-570-3369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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Taxonomy #6
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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