Healthcare Provider Details

I. General information

NPI: 1477100949
Provider Name (Legal Business Name): BUTTERFLY BEGINNINGS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 W CENTRAL PARK AVE
DAVENPORT IA
52804-2502
US

IV. Provider business mailing address

2515 W CENTRAL PARK AVE
DAVENPORT IA
52804-2502
US

V. Phone/Fax

Practice location:
  • Phone: 563-349-9595
  • Fax:
Mailing address:
  • Phone: 563-349-9595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KIMBERLY FEENEY
Title or Position: OWNER
Credential: LISW
Phone: 563-349-9595