| Doctor Name: | KEISHA L. BUTLER |
| NPI Number: | 1003000506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 19723 |
| Business Practice Address: | 100 N Central Expy Suite 400-8 Dallas, TX - 752014312 |
| Business Phone Number: | 2142987647 |
| Business Fax Number: | 4692274251 |
| Mailing Address: | 100 N Central Expy, Suite 400-8 DALLAS |
| State: | TX |
| Postal Code: | 752014312 |
| Phone Number: | 2142987647 |
| Fax Number: | 4692274251 |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 08/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 19723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |