Provider Demographics
NPI:1780750281
Name:BUTLER, JOYCE KANA (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:KANA
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 360
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3466
Mailing Address - Country:US
Mailing Address - Phone:281-275-4105
Mailing Address - Fax:
Practice Address - Street 1:14100 SOUTHWEST FWY
Practice Address - Street 2:SUITE 360
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3466
Practice Address - Country:US
Practice Address - Phone:281-275-4105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17745101YM0800X
TX5188106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7250417Medicare UPIN
TX6161LCMedicare UPIN
TX486391Medicare UPIN