# PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104694389
- **Authorized official:** BOLANLE AWOTIKU NP (PMHNP)
- **Authorized official phone:** (630) 504-8745

## Contact information

- **Practice address:** 9950 WESTPARK DR STE 528, HOUSTON, TX 77063-5274
- **Practice address phone:** (630) 504-8745
- **Mailing address:** 11747 GIOVANNI LN, RICHMOND, TX 77406-1536
- **Mailing address phone:** (630) 504-8745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 01/03/2024
