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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043340615 NPPES
Texas MEDICAID 169897902

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