Organization
BOTAITIS THERAPY GROUP CORPORATION
Active
Other names
Botaitis Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE A BOTAITIS LMFT & LPCC (PRESIDENT & CEO)
(805) 636-9890
Entity
Organization
Contact information
Practice address
817 GARDEN ST STE 200, SANTA BARBARA, CA 93101-7473
(805) 636-9890
Mailing address
817 GARDEN ST STE 200, SANTA BARBARA, CA 93101-7473
(805) 636-9890
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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