HEART OF TEXAS REGION MHMR CENTER NPI 1639399132

NPI Information

NPI: 1639399132
Provider Name: HEART OF TEXAS REGION MHMR CENTER

Doing Business As: HEART OF TEXAS BEHAVIORAL HEALTH NETWORK

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
110 S 12TH ST
WACO, TX
ZIP 76701
Phone: (254) 752-3451
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HEART OF TEXAS REGION MHMR CENTER is a mental health (including community mental health center) clinic center in Waco, TX. HEART OF TEXAS REGION MHMR CENTER NPI is 1639399132. The provider is registered as an organization entity type.
The provider Is Doing Business As Heart Of Texas Behavioral Health Network.

The provider's business location address is:

110 S 12TH ST
WACO, TX
ZIP 76701-810
Phone: (254) 752-3451
Fax: (254) 756-3133

The provider's authorized official is Daniel Thompson .
The authorized official title is Executive Director and has the following contact phone number (254) 752-3451.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 3/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	084859002	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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