Provider Demographics
NPI:1912913625
Name:BUTURFF, MELANIE ANN
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ANN
Last Name:BUTURFF
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 1:224 S PETERS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5207
Mailing Address - Country:US
Mailing Address - Phone:865-250-6213
Mailing Address - Fax:865-220-5558
Practice Address - Street 1:224 S PETERS RD STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5207
Practice Address - Country:US
Practice Address - Phone:865-250-6213
Practice Address - Fax:865-220-5558
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000005101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical