Healthcare Provider Details

I. General information

NPI: 1063397008
Provider Name (Legal Business Name): ALEXA MARIE BUTLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 THOMAS JONES WAY
EXTON PA
19341-2553
US

IV. Provider business mailing address

216 HERITAGE LN
EXTON PA
19341-1624
US

V. Phone/Fax

Practice location:
  • Phone: 888-694-9996
  • Fax:
Mailing address:
  • Phone: 484-366-4748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC019067
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: