Healthcare Provider Details

I. General information

NPI: 1073200127
Provider Name (Legal Business Name): BUTLER & DAVIS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 CHERRY LN
LAUREL MD
20707-5551
US

IV. Provider business mailing address

7580 CHERRY LN
LAUREL MD
20707-5551
US

V. Phone/Fax

Practice location:
  • Phone: 202-670-4668
  • Fax:
Mailing address:
  • Phone: 202-670-4668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. EBONY DAVIS
Title or Position: LEAD CONSULTANT
Credential: LCSW-C
Phone: 202-670-4668