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

Counselor (Professional) in Dallas, TX

About KEISHA BUTLER

Keisha Butler is a provider in Dallas, TX. The NPI number assigned to this provider is 1003000506. The practitioner's primary taxonomy code is Counselor (101YP2500X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI	1003000506 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	KEISHA L. BUTLER M.A., LPC
Provider Location Address	100 N CENTRAL EXPY SUITE 400-8 DALLAS, TX 75201 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	100 N CENTRAL EXPY SUITE 400-8 DALLAS, TX 75201 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. 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).
Is Sole Proprietor?	Yes
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date	08-28-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	08-28-2007 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	101YP2500X 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.
Classification	Counselor
Type	Behavioral Health & Social Service Providers
Specialization	Professional
License No.	19723
License State	TX

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
1093909590	MRS. 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

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