MEDICARE: BUTTERFLY THERAPEUTICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1043902976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTERFLY THERAPEUTICS PLLC

Provider Business Mailing Address
First Line	:	5083 HAWK SPRINGS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-5121
Country	:	US
Telephone Number	:	720-272-6469
Fax Number	:

Provider Business Practice Location Address
First Line	:	5083 HAWK SPRINGS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-5121
Country	:	US
Telephone Number	:	720-272-6469
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY M GARCIA
Credential	:	LPC
Telephone Number	:	720-272-6469

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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