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NPI Code Detail

MEDICARE: MS. KAY LH BUTLER LCSW

MEDICARE: MS. KAY LH BUTLER LCSW
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker0904004666VA

General Provider Information

NPI Number : 1154521284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAY LH BUTLER LCSW
Provider Business Mailing Address
First Line : 3151 STILLHOUSE CREEK DR SE UNIT 24523
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3554
Country : US
Telephone Number : 703-869-2433
Fax Number :
Provider Business Practice Location Address
First Line : 1300 JOSEPH E BOONE BLVD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30314-2032
Country : US
Telephone Number : 678-843-8791
Fax Number : 404-753-6955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2007
Last Update Date : 03/26/2018

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Directions to “ MS. KAY LH BUTLER LCSW” Practice Location

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