Healthcare Provider Details

I. General information

NPI: 1871404335
Provider Name (Legal Business Name): LAQUITA BUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 N ABRAM CIR
SPRING TX
77382-2036
US

IV. Provider business mailing address

71 N ABRAM CIR
SPRING TX
77382-2036
US

V. Phone/Fax

Practice location:
  • Phone: 346-574-8004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: