| Mr Gideon Petrus Botha, LPC, LMFT | |
|
2160 Brittany Colony Dr, League City, TX 77573-6246 | |
| (281) 316-0548 | |
| (281) 316-0548 |
| Full Name | Mr Gideon Petrus Botha |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2160 Brittany Colony Dr, League City, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356460414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 200848 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 61340 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gideon Petrus Botha, LPC, LMFT 2160 Brittany Colony Dr, League City, TX 77573-6246 Ph: (281) 316-0548 | Mr Gideon Petrus Botha, LPC, LMFT 2160 Brittany Colony Dr, League City, TX 77573-6246 Ph: (281) 316-0548 |
Denise Rau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 S Shore Blvd Ste 373, League City, TX 77573 Phone: 281-245-3389 | |
Scot R Macomber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Main St Ste 101, League City, TX 77573 Phone: 281-299-5959 | |
Charlette Hart Vaughn, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 N Michigan Ave, League City, TX 77573 Phone: 832-895-9945 | |
Mrs. Tashonda Edwards, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1828 Wren Dr, League City, TX 77573 Phone: 409-739-2701 | |
Courtney Renee Trinidad, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4444 W Main St, League City, TX 77573 Phone: 409-763-2373 Fax: 409-978-2401 | |
Amanda Beth Groller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4444 W Main St, League City, TX 77573 Phone: 409-763-2373 | |
Tara Michelle Edmondson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Devereux Dr, League City, TX 77573 Phone: 281-316-5410 Fax: 281-316-5498 |