MEDICARE: HALEIGH SCHERMA LICENSED PROFESSIONAL CLINICAL COUNSELOR INC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1841054236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALEIGH SCHERMA LICENSED PROFESSIONAL CLINICAL COUNSELOR INC

Provider Business Mailing Address
First Line	:	6872 W 69TH AVE
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-3508
Country	:	US
Telephone Number	:	303-335-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 TUJUNGA AVE STE 110
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2753
Country	:	US
Telephone Number	:	303-335-0996
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER/THERAPIST
Name	:	HALEIGH BUTLER
Credential	:	LPCC
Telephone Number	:	440-666-1491

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	10/29/2025

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