PAULINE ODOFOLE BOTCHWAY
Counselor

Address: 8711 Cinnamon Creek Dr Apt 409, San Antonio, TX 78240-4505

PAULINE ODOFOLE BOTCHWAY (NPI# 1861847907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861847907
Entity Type Individual
Full Name PAULINE ODOFOLE BOTCHWAY
Gender Female
Credential LPC, NCC
Practice Address 8711 Cinnamon Creek Dr Apt 409
San Antonio
TX 78240-4505
US
Practice Telephone 5416871110
Mailing Address P.o. Box 8549
Coburg
OR 97408
US
Mailing Telephone 5416871110
Enumeration Date 2016-04-26
Last Update Date 2018-10-12
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 72440 TX Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
C4209 OR Behavioral Health & Social Service Providers

Office Location

Street Address 8711 CINNAMON CREEK DR APT 409
City SAN ANTONIO
State TX
Zip Code 78240-4505

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

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1821689076 Arianna Skinner-Beck Counselor 6766 Manor Hill, San Antonio, TX 78257 2021-01-31
1699366096 Robert Charles Stead Counselor 6963 Sunset Village Dr, San Antonio, TX 78249-3511 2021-01-28
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Competitor

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City SAN ANTONIO
Zip Code 78240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.