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General NPI Number Information
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NPI Number | 1275926867
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Entity Type | Organization
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Legal Business Name | DR. SHERRY TAYLOR BUTLER, LMHC
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 901 E 7TH CT
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City | PANAMA CITY
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State | FL
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Zip | 32401-3521
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Country | US
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Telephone | 850-960-7862
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Fax | 850-215-7883
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Provider Business Mailing Address
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Address Line | 400 W 11TH ST STE D
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City | PANAMA CITY
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State | FL
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Zip | 32401-2400
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Country | US
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Telephone | 850-960-7862
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | DR. SHERRY ANN TAYLOR BUTLER
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Credential | ED.D./LMHC
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Telephone | 850-767-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13034
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License Number State | FL
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