Provider Demographics
NPI:1003108937
Name:T.H.E SOCIAL WORK SERVICES LLC
Entity Type:Organization
Organization Name:T.H.E SOCIAL WORK SERVICES LLC
Other - Org Name:KATHIE L. BUTLER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:256-534-8161
Mailing Address - Street 1:PO BOX 10108
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3616
Mailing Address - Country:US
Mailing Address - Phone:256-534-6091
Mailing Address - Fax:256-519-6917
Practice Address - Street 1:111 LONGWOOD DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4522
Practice Address - Country:US
Practice Address - Phone:256-534-8161
Practice Address - Fax:256-534-7254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1467C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0519-1467COtherPRIVATE INDEPENDENT PRACTICE
AL102I805916OtherMEDICARE PTAN
AL1467COtherLICENSE