DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MHMR AUTHORITY OF BRAZOS VALLEY

MEDICARE: MHMR AUTHORITY OF BRAZOS VALLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1912296013
Entity Type Code : Organization
Provider Name (Legal Business Name) : MHMR AUTHORITY OF BRAZOS VALLEY
Provider Business Mailing Address
First Line : PO BOX 4588
Second Line :
City : BRYAN
State : TX
Zip : 77805-4588
Country : US
Telephone Number : 979-822-6467
Fax Number : 979-821-9448
Provider Business Practice Location Address
First Line : 804 S TEXAS AVE
Second Line :
City : BRYAN
State : TX
Zip : 77803-3946
Country : US
Telephone Number : 979-822-6467
Fax Number : 979-821-9448
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : BILL KELLY
Credential :
Telephone Number : 979-822-6467
Provider Enumeration Date : 03/30/2011
Last Update Date : 03/30/2011

Similar Medicare Providers

1881621225 — MHMRA OF BRAZOS VALLEY
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-822-6467
Practice Fax: 979-821-9448
1396166245 — GREGORY BRIGANDO LPC
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-361-9815
Practice Fax:
1760935720 — MHMR AUTHORITY OF BRAZOS VALLEY
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-220-2881
Practice Fax: 979-821-9486
1477060655 — DR. JESSICA LYNNE HALL PH.D.
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-822-6467
Practice Fax:
1174030357 — MRS. DIANA HOFSTETTER LPC
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-361-9851
Practice Fax:
1205323722 — ELIZABETH BOGGESS LPC
Practice Location Address:
804 S TEXAS AVE
BRYAN, TX
77803-3946
Practice Phone: 979-361-1273
Practice Fax:

Directions to “MHMR AUTHORITY OF BRAZOS VALLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.