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General NPI Number Information
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NPI Number | 1528955069
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Entity Type | Organization
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Legal Business Name | BUTTERFLY FAMILY THERAPY
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 22787 US HIGHWAY 98 BLDG A
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City | FAIRHOPE
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State | AL
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Zip | 36532-6375
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Country | US
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Telephone | 251-210-9425
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Fax |
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Provider Business Mailing Address
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Address Line | 317 PECAN RIDGE BLVD
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City | FAIRHOPE
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State | AL
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Zip | 36532-7424
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Country | US
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Telephone | 619-787-9503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIE KAY MARTIN
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Credential | M.ED, LICSW, PMH-C
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Telephone | 619-787-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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