Provider Demographics
NPI:1598067837
Name:ALEXANDER BUTLER, TONYA AURORA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:AURORA
Last Name:ALEXANDER BUTLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:TONYA
Other - Middle Name:AURORA
Other - Last Name:ALEXANDER-BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSOTP
Mailing Address - Street 1:6116 N CENTRAL EXPY
Mailing Address - Street 2:120
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5162
Mailing Address - Country:US
Mailing Address - Phone:903-449-9036
Mailing Address - Fax:903-587-3101
Practice Address - Street 1:6116 N CENTRAL EXPY
Practice Address - Street 2:120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5162
Practice Address - Country:US
Practice Address - Phone:903-449-9036
Practice Address - Fax:903-587-3101
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98497101Y00000X
TX17360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor