Healthcare Provider Details

I. General information

NPI: 1790416220
Provider Name (Legal Business Name): LINDSEY BUTLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY MCMILLEN

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E WASHINGTON ST
CORRY PA
16407-1638
US

IV. Provider business mailing address

45 E WASHINGTON ST
CORRY PA
16407-1638
US

V. Phone/Fax

Practice location:
  • Phone: 814-664-7761
  • Fax: 814-664-4020
Mailing address:
  • Phone: 814-664-7761
  • Fax: 814-664-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC018995
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: