Provider Demographics
NPI:1831585991
Name:BUTCHER, CHELSEA SKY (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:SKY
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 W MARTIN LUTHER KING JR BLVD STE 907
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-7702
Mailing Address - Country:US
Mailing Address - Phone:479-349-3951
Mailing Address - Fax:479-227-2445
Practice Address - Street 1:4170 W MARTIN LUTHER KING JR BLVD STE 907
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-7702
Practice Address - Country:US
Practice Address - Phone:479-349-3951
Practice Address - Fax:479-227-2445
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7494-M104100000X
AR7494-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker