Provider Demographics
NPI:1568551380
Name:BUTTARS, HEIDI NICHOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:NICHOLE
Last Name:BUTTARS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:NICHOLE
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 613
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-0613
Mailing Address - Country:US
Mailing Address - Phone:801-766-3253
Mailing Address - Fax:
Practice Address - Street 1:433 S 500 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2527
Practice Address - Country:US
Practice Address - Phone:801-216-8000
Practice Address - Fax:801-216-8001
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT347771-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical