Provider Demographics
NPI:1710575477
Name:BUTLER, SARAH JULIA (PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JULIA
Last Name:BUTLER
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 CONRAD ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:69360-6503
Mailing Address - Country:US
Mailing Address - Phone:308-307-2026
Mailing Address - Fax:308-307-2126
Practice Address - Street 1:307 CONRAD ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:NE
Practice Address - Zip Code:69360-6503
Practice Address - Country:US
Practice Address - Phone:308-307-2026
Practice Address - Fax:308-307-2126
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health