DAVID LANTE BOTCHWAY (NPI# 1659639714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659639714 |
Entity Type | Individual |
Full Name | DAVID LANTE BOTCHWAY |
Practice Address |
4814 Kristie Dr Apt 74 Oklahoma City OK 73115-4810 |
Mailing Address |
Po Box 15793 Oklahoma City OK 73155-5793 |
Practice Telephone | 4054090916 |
Mailing Telephone | 4054090916 |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
4814 KRISTIE DR APT 74 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73115-4810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
Find all providers in zip 73115 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73115 |
Please comment or provide details below to improve the information on DAVID LANTE BOTCHWAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.