MENTAL HEALTH MENTAL RETARDATION AUTHORITY BRAZOS VALLEY
NPI 1710364153
Clinic/Center in Bryan, TX

Active since May 06, 2015
1504 S TEXAS AVE, BRYAN, TX 77802(979) 822-6467(979) 821-9448 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mental Health Mental Retardation Authority Brazos Valley NPPES

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

MENTAL HEALTH MENTAL RETARDATION AUTHORITY BRAZOS VALLEY (NPI 1710364153) is a healthcare organization registered as a clinic/center in Bryan, Texas and active in the NPI registry since May 2015. The organization lists Bill Kelly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710364153
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMENTAL HEALTH MENTAL RETARDATION AUTHORITY BRAZOS VALLEY
Location Address1504 S TEXAS AVEBryan, TX 77802-1015
Mailing Address1504 S Texas AveBryan, TX 77802-1015 · (979) 822-6467 · Fax (979) 821-9448
Fax(979) 821-9448
Organization SubpartNo
Authorized OfficialBill KellyExecutive Director · (979) 822-6467
Enumeration DateMay 6, 2015
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1710364153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1504 S TEXAS AVE, Bryan, TX 77802

Other Identifiers 1

Medicaid1363665TX

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
1504 S TEXAS AVE
BRYAN, TX 77802
Counselor (Professional)
1504 S TEXAS AVE
BRYAN, TX 77802
Physical Therapist
1504 S TEXAS AVE
BRYAN, TX 77802
Counselor (Mental Health)
1504 S TEXAS AVE
BRYAN, TX 77802
Counselor (Mental Health)
1504 S TEXAS AVE
BRYAN, TX 77802
Custodial Care Facility (Adult Care Home)
1504 S TEXAS AVE
BRYAN, TX 77802
Physical Therapist (Pediatrics)
1504 S TEXAS AVE
BRYAN, TX 77802
Counselor (Professional)
1504 S TEXAS AVE
BRYAN, TX 77802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mental Health Mental Retardation Authority Brazos Valley's NPI number?

The NPI number for Mental Health Mental Retardation Authority Brazos Valley is 1710364153. It was assigned to this organization in the NPPES registry on May 6, 2015.

Where is Mental Health Mental Retardation Authority Brazos Valley located?

Mental Health Mental Retardation Authority Brazos Valley is located at 1504 S Texas Ave, Bryan, TX 77802. The listed phone number is (979) 822-6467.

What is Mental Health Mental Retardation Authority Brazos Valley's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mental Health Mental Retardation Authority Brazos Valley was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.