Provider Demographics
NPI:1205647005
Name:BUTLER, ZOE KATHRYN
Entity type:Individual
Prefix:MISS
First Name:ZOE
Middle Name:KATHRYN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 SHADY LN APT 2213
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78721-3042
Mailing Address - Country:US
Mailing Address - Phone:254-899-5893
Mailing Address - Fax:
Practice Address - Street 1:1143 SHADY LN APT 2213
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-3042
Practice Address - Country:US
Practice Address - Phone:254-899-5893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX694201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical