Provider Demographics
NPI:1326505843
Name:BLUE BUTTERFLY SERVICES LLC
Entity Type:Organization
Organization Name:BLUE BUTTERFLY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:CATLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-263-5577
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:JOSEPH
Mailing Address - State:OR
Mailing Address - Zip Code:97846-0008
Mailing Address - Country:US
Mailing Address - Phone:541-263-5577
Mailing Address - Fax:541-263-5578
Practice Address - Street 1:103 N MAIN ST # 3
Practice Address - Street 2:
Practice Address - City:JOSEPH
Practice Address - State:OR
Practice Address - Zip Code:97846-5000
Practice Address - Country:US
Practice Address - Phone:541-263-5577
Practice Address - Fax:541-263-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500702800Medicaid