Botha, Gideon Petrus

Botha, Gideon Petrus is an sole proprietor health care provider with primary practice located at 2160 Brittany Colony Dr , League City TX 77573-6246. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Botha, Gideon Petrus can be contacted via phone (281) 316-0548.

Contact Information

Primary practice address
2160 Brittany Colony Dr League City TX 77573-6246
Phone: (281) 316-0548
Fax: (281) 316-0548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 200848 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 61340 Texas

Profile Details

NPI number 1356460414
LBN Legal business name Botha, Gideon Petrus
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Apr 23rd, 2012 - about 12 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.

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