Organization
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Active
Other names
MHMR Services for the Concho Valley
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON TODD BAIRD (IT DIRECTOR/CREDENTIALING SPECIALIS)
(325) 658-7750
Entity
Organization
Contact information
Practice address
202 N MAIN ST, SAN ANGELO, TX 76903-4842
(325) 658-7750
(325) 658-8381
Mailing address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 658-7750
(325) 658-8381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109483102
—
TX
05
—
127323701
—
TX
05
—
127323702
—
TX
05
—
127323704
—
TX
Enumeration date
02/07/2007
Last updated
06/01/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up