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NPI 1083625941

NPI 1083625941 : BUTLER WELLNESS SUPPORT SERVICES WELLNESS WORKS : BUTLER, PA

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General NPI Number Information
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    NPI Number           |    1083625941
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUTLER WELLNESS SUPPORT SERVICES WELLNESS WORKS 
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Dates
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    Enumeration Date     |    08/10/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    349 N MCKEAN STREET 
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16001-5426
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    Country              |    US
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    Telephone            |    724-282-0332
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    Fax                  |    724-282-2406
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Provider Business Mailing Address
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    Address Line         |    349 N MCKEAN STREET 
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    City                 |    BUTLER
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    State                |    PA
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    Zip                  |    16001-5426
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    Country              |    US
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    Telephone            |    724-282-0332
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    Fax                  |    724-282-2406
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Authorized Official
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    Title or Position    |    OWNER  PSYCHOLOGIST
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    Name                 |    DR. SUSAN MICKLEY DROLET 
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    Credential           |    PSYD
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    Telephone            |    724-282-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PS008242L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PS015309L
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    CW014466
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    License Number State |    PA
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