Healthcare Provider Details

I. General information

NPI: 1669307401
Provider Name (Legal Business Name): NAUMAN BUTT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NOMI BUTT

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 CLAIRMONT RD
DECATUR GA
30030-1228
US

IV. Provider business mailing address

855 PEACHTREE ST NE UNIT 3401
ATLANTA GA
30308-7440
US

V. Phone/Fax

Practice location:
  • Phone: 470-563-9856
  • Fax:
Mailing address:
  • Phone: 470-826-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: