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
Gender Female
Credential LPC, NCC
Practice Address 8711 Cinnamon Creek Dr Apt 409
San Antonio
TX 78240-4505
Practice Telephone 5416871110
Mailing Address P.o. Box 8549
OR 97408
Mailing Telephone 5416871110
Enumeration Date 2016-04-26
Last Update Date 2018-10-12
Is Sole Proprietor N


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
State TX
Zip Code 78240-4505

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NPI Name Taxonomy Address Enumeration
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1386117901 Kevin M Miles Counselor - Mental Health 4820 Gus Eckert, #510, San Antonio, TX 78240 2019-01-07
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1093198186 North Babcock Dental Pllc Dentist - General Practice 5970 Babcock Rd., San Antonio, TX 78240 2015-07-07
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1508298530 Omo Cares, LLC Assisted Living Facility 8627 Cinnamon Creek Drive, Bldg 401, San Antonio, TX 78240 2013-08-01
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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

NPI Name Taxonomy Address Enumeration
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1053995316 Felicia Goins Counselor 7911 Broadway, San Antonio, TX 78209-2601 2021-05-11
1386225829 Alyssa Arredondo Counselor 2703 Montebello, San Antonio, TX 78259-2160 2021-04-16
1275111221 Diane Elizabeth Cisneros Counselor 2121 Lockhill Selma Rd, San Antonio, TX 78213-1410 2021-03-31
1316523749 Mandy Renee-Marin Randall · Mandy Renee Marin Counselor 3803 Lenten Rose, San Antonio, TX 78259-2348 2021-03-24
1386238673 Merrik Laine Hetherington Counselor 7822 Bantry Ct, San Antonio, TX 78240-5722 2021-02-26
1588258461 Mending Hearts LLC Counselor 5886 De Zavala Rd, Suite 102 #453, San Antonio, TX 78249-2269 2021-02-22
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
1497356885 Courtney Adcox · Na Na Na Counselor 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 2020-11-03
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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.