Provider Demographics
NPI:1053038216
Name:BUTTERWORTH, KARLIE GREEN (MS, LPC)
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:GREEN
Last Name:BUTTERWORTH
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 LIVE OAK DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1642
Mailing Address - Country:US
Mailing Address - Phone:337-344-0398
Mailing Address - Fax:
Practice Address - Street 1:216 PALOMA DR STE 110
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-2296
Practice Address - Country:US
Practice Address - Phone:254-677-6133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional