Provider Demographics
NPI:1578137501
Name:BUTLER, VE'VAY O (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:VE'VAY
Middle Name:O
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 MURRAY ST FL 4
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8300
Mailing Address - Country:US
Mailing Address - Phone:318-787-1480
Mailing Address - Fax:
Practice Address - Street 1:429 MURRAY ST FL 4
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8300
Practice Address - Country:US
Practice Address - Phone:318-787-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA105111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical