Provider Demographics
NPI:1497429195
Name:BUTLER, MARLEE (PENDING LPC)
Entity Type:Individual
Prefix:
First Name:MARLEE
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PENDING LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S ROCKSPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3641
Mailing Address - Country:US
Mailing Address - Phone:910-470-8088
Mailing Address - Fax:
Practice Address - Street 1:1 HUNTINGTON RD STE 801
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7216
Practice Address - Country:US
Practice Address - Phone:706-552-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health