Botello, Tammy Lynn
Botello, Tammy Lynn is an sole proprietor health care provider with primary practice located at 1122 W Pioneer Pkwy , Arlington TX 76013-6367. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Botello, Tammy Lynn can be contacted via phone (817) 538-5998.Contact Information
Primary practice address
1122 W Pioneer Pkwy
Arlington TX 76013-6367
Phone: (817) 538-5998
Fax: (817) 549-7139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 19232 | Texas |
Profile Details
| NPI number | 1043340615 |
|---|---|
| LBN Legal business name | Botello, Tammy Lynn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Oct 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043340615 | NPPES |
| Texas | MEDICAID | 169897902 |
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