Provider Demographics
NPI:1972878106
Name:WILLIAMS-BUTLER, GILONDA (LMFT)
Entity Type:Individual
Prefix:
First Name:GILONDA
Middle Name:
Last Name:WILLIAMS-BUTLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 ADDINGTON CT
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-2261
Mailing Address - Country:US
Mailing Address - Phone:214-402-3500
Mailing Address - Fax:
Practice Address - Street 1:3538 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-1033
Practice Address - Country:US
Practice Address - Phone:214-402-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2470106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist