Provider Demographics
NPI:1336579952
Name:BUTLER-HOUCK, NARAN E (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:NARAN
Middle Name:E
Last Name:BUTLER-HOUCK
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-0054
Mailing Address - Country:US
Mailing Address - Phone:732-213-5505
Mailing Address - Fax:
Practice Address - Street 1:652 KENRIDGE WAY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7269
Practice Address - Country:US
Practice Address - Phone:732-213-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1041S0200X
251S00000X
GACSW0066151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No251S00000XAgenciesCommunity/Behavioral Health