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Organization
PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC
Active
Organization
PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC
Active
Other names
PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE AWOTIKU NP (PMHNP)
(630) 504-8745
Entity
Organization
Contact information
Practice address
9950 WESTPARK DR STE 528, HOUSTON, TX 77063-5274
(630) 504-8745
Mailing address
11747 GIOVANNI LN, RICHMOND, TX 77406-1536
(630) 504-8745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
01/03/2024
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