Bob Wilson Ministries

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2526A Issued in TX

Legal business name

BOB WILSON MINISTRIES

Doing business as

Meadows House Ranch

Practice address

6585 S FM 183
Evant, TX 76525

Phone

(254) 471-5709

Fax

(254) 471-5710

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dewayne Elton Brawner, PH. D.

Title

Chief Administrative Officer

Phone

(254) 471-5709

Specialties & licenses 1

Addresses

Other names 1

• Meadows House Ranch Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lillian M Hinds, LPC

  • Professional Counselor
  • Evant, TX
  • NPI 1356539514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417174178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 BIRDCREEK DR",
            "address_2": "SUITE 200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021020",
            "telephone_number": "254-742-2211",
            "fax_number": "254-742-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S FM 183",
            "city": "EVANT",
            "state": "TX",
            "postal_code": "76525",
            "telephone_number": "254-471-5709",
            "fax_number": "254-471-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB WILSON MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAWNER",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "ELTON",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "254-471-5709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "2526A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows House Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evant Isd
• Lori Michelle Fondren, NP
• Lillian M Hinds, LPC
• Mauney & Associates, LLC
• Annie Melissa Mauney, LBSW, LCDC

• Substance Abuse Rehabilitation Facility in Evant, TX
• Providers in Evant, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.