PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC
NPI 1104694389
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Q: What is Peace Pavilion Mental Healthcare And Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 18, 2023

9950 WESTPARK DR STE 528, HOUSTON, TX 77063(630) 504-8745 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peace Pavilion Mental Healthcare And Counseling Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC (NPI 1104694389) is a healthcare organization registered as a psychiatric/mental health in Houston, Texas and active in the NPI registry since December 2023. The organization lists Bolanle Awotiku, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1104694389

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePEACE PAVILION MENTAL HEALTHCARE AND COUNSELING SERVICES PLLC

Location Address9950 WESTPARK DR STE 528Houston, TX 77063-5274

Mailing Address11747 Giovanni LnRichmond, TX 77406-1536 · (630) 504-8745

Phone(630) 504-8745

Organization SubpartNo

Authorized OfficialBolanle AwotikuPmhnp · (630) 504-8745

Enumeration DateDecember 18, 2023

Last NPPES UpdateJanuary 3, 2024

NPPES CertifiedJanuary 3, 2024

✔ NPI 1104694389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

9950 WESTPARK DR STE 528, Houston, TX 77063

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Other Names 1

Former Legal Business NamePeace Pavilion Mental Healthcare And Counseling Services Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peace Pavilion Mental Healthcare And Counseling Services PLLC's NPI number?

The NPI number for Peace Pavilion Mental Healthcare And Counseling Services PLLC is 1104694389. It was assigned to this organization in the NPPES registry on December 18, 2023.

Where is Peace Pavilion Mental Healthcare And Counseling Services PLLC located?

Peace Pavilion Mental Healthcare And Counseling Services PLLC is located at 9950 Westpark Dr Ste 528, Houston, TX 77063. The listed phone number is (630) 504-8745.

What is Peace Pavilion Mental Healthcare And Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Peace Pavilion Mental Healthcare And Counseling Services PLLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.