Healthcare Provider Details

I. General information

NPI: 1205773207
Provider Name (Legal Business Name): BRANDI N BUTTRICK CDCAPRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDI N ROBISON CDCAPRE

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 GEMINI PL
COLUMBUS OH
43240-6092
US

IV. Provider business mailing address

170 N 20TH ST
COLUMBUS OH
43203-1549
US

V. Phone/Fax

Practice location:
  • Phone: 614-841-7708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number195723
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: