MEDICARE: CHARICE M BUTLER LIMHP

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	101YM0800X	Mental Health Counselor	1380	NE
2	101YM0800X	Mental Health Counselor	9571	NE

General Provider Information

NPI Number	:	1811268311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARICE M BUTLER LIMHP

Provider Business Mailing Address
First Line	:	PO BOX 1066
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-1066
Country	:	US
Telephone Number	:	402-850-7226
Fax Number	:	402-625-0075

Provider Business Practice Location Address
First Line	:	1408 FORT CROOK RD S FL 3
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3061
Country	:	US
Telephone Number	:	402-850-7226
Fax Number	:	402-625-0075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	03/26/2026

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