Doctor Name: | MRS. ELIZABETH LEE BUTLER |
NPI Number: | 1740205772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | E-0002961 |
Business Practice Address: | 35888 Center Ridge Rd Suite 5 North Ridgeville, OH - 440393086 |
Business Phone Number: | 4403271810 |
Business Fax Number: | 4403271533 |
Mailing Address: | 35888 Center Ridge Rd, Suite 5 NORTH RIDGEVILLE |
State: | OH |
Postal Code: | 440393086 |
Phone Number: | 4403271810 |
Fax Number: | 4403271533 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E-0002961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |