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General NPI Number Information
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NPI Number | 1740990167
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Entity Type | Individual
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Provider Name | LENARIO BUTLER LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 3916 E HILLSBOROUGH AVE
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City | TAMPA
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State | FL
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Zip | 33610-4542
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Country | US
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Telephone | 813-236-1755
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 LENNOX DALE LN
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City | BRANDON
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State | FL
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Zip | 33510-8100
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Country | US
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Telephone | 813-304-9147
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | IMH20904
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH25535
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License Number State | FL
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