KEISHA L. BUTLER M.A., LPC NPI 1003000506

Counselor (Professional) in Dallas, TX

Individual Female Counselor Professional

About KEISHA BUTLER

Keisha Butler is a provider established in Dallas, Texas and her medical specialization is counselor. The NPI number of Keisha Butler is 1003000506 and was assigned on August 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 19723 (TX). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1003000506

Provider Name KEISHA L. BUTLER M.A., LPC
Provider Location Address100 N CENTRAL EXPY SUITE 400-8 DALLAS, TX 75201
Provider Mailing Address100 N CENTRAL EXPY SUITE 400-8 DALLAS, TX 75201
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-28-2007
Last Update Date08-28-2007

Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.19723
License StateTX

Business Address

KEISHA L. BUTLER M.A., LPC
100 N CENTRAL EXPY
SUITE 400-8
DALLAS, TX
ZIP 75201
Phone: (214) 298-7647
Fax: (469) 227-4251

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Mailing Address

KEISHA L. BUTLER M.A., LPC
100 N CENTRAL EXPY
SUITE 400-8
DALLAS, TX
ZIP 75201
Phone: (214) 298-7647
Fax: (469) 227-4251

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093909590MRS. DENETTE L. VITAL RN, M.A., LPC
Individual
Counselor (Professional)100 N CENTRAL EXPY SUITE 400-8
DALLAS, TX 75201
(469) 658-5457
1316118573 SAMANTHA DENINE HEARD LCSW
Individual
Social Worker (Clinical)100 N CENTRAL EXPY SUITE #400-2
DALLAS, TX 75201
(214) 760-9151

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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