Provider Demographics
NPI:1326581646
Name:BUTLER, LORI ANN (NCC, LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:NCC, LPC, LMHC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:SMYLIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMHP
Mailing Address - Street 1:2724 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2204
Mailing Address - Country:US
Mailing Address - Phone:504-905-8057
Mailing Address - Fax:504-553-1228
Practice Address - Street 1:2724 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2204
Practice Address - Country:US
Practice Address - Phone:504-905-8057
Practice Address - Fax:504-553-1228
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7626101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional