Provider Demographics
NPI:1447595970
Name:BUTLER, DELORES C (LAPSW)
Entity Type:Individual
Prefix:PROF
First Name:DELORES
Middle Name:C
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 BRICK CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2009
Mailing Address - Country:US
Mailing Address - Phone:615-963-7666
Mailing Address - Fax:615-963-7672
Practice Address - Street 1:1712 BRICK CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2009
Practice Address - Country:US
Practice Address - Phone:615-963-7666
Practice Address - Fax:615-963-7672
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNASW0000000135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health