Healthcare Provider Details

I. General information

NPI: 1306773700
Provider Name (Legal Business Name): SABRINA BUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 S UNION ST UNIT 2104
LAWRENCE MA
01843-2800
US

IV. Provider business mailing address

90 COTTAGE AVE
WINTHROP MA
02152-2504
US

V. Phone/Fax

Practice location:
  • Phone: 978-648-8515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: