MHMR SERVICES FOR THE CONCHO VALLEY
NPI 1649987496
Counselor - Addiction (Substance Use Disorder) in San Angelo, TX

Q: What is Concho Valley Center For Human Advancement's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since November 01, 2022CLIA 45D2096321 · Waiver

202 N MAIN ST, SAN ANGELO, TX 76903(325) 658-7750 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 5, 2024, Nov 16, 2022, Nov 1, 2022 (3 updates tracked since 2022).

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About Mhmr Services For The Concho Valley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MHMR SERVICES FOR THE CONCHO VALLEY (NPI 1649987496) is a healthcare organization registered as an addiction (substance use disorder) in San Angelo, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Gregory Rowe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649987496

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameCONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT

Location Address202 N MAIN STSan Angelo, TX 76903-4842

Mailing Address1501 W Beauregard AveSan Angelo, TX 76901-4004 · (325) 658-7750

Phone(325) 658-7750

Organization SubpartNo

Authorized OfficialGregory RoweCeo · (325) 658-7750

Enumeration DateNovember 1, 2022

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1649987496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

202 N MAIN ST, San Angelo, TX 76903

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Other Names 1

Doing Business AsMhmr Services For The Concho Valley

Other Identifiers 1

Other4660-4661TX · Substance Abuse Treatment Facility License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2096321

Mhmr Services For The Concho Valley · San Angelo, TX

Active · expires May 19, 2027

CLIA Number45D2096321

Laboratory TypeCommunity Mhmr Clinic

Certificate Effective DateMay 20, 2025

Certificate Expiration DateMay 19, 2027

Laboratory DirectorDr. Grace Kang

Laboratory Phone(325) 658-7750

Laboratory LocationMhmr Services For The Concho Valley202 N Main St, San Angelo, TX 76903

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LALANIE DENISE DOHRSE

Registered Nurse (Psychiatric/Mental Health, Adult)