Provider Demographics
NPI:1982078135
Name:BUTTERFLY HEALING CENTER, PLLC
Entity Type:Organization
Organization Name:BUTTERFLY HEALING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-933-0333
Mailing Address - Street 1:610 MADAM MOORES LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-6442
Mailing Address - Country:US
Mailing Address - Phone:252-933-0333
Mailing Address - Fax:252-631-0288
Practice Address - Street 1:317D POLLOCK ST STE 4
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4976
Practice Address - Country:US
Practice Address - Phone:252-933-0333
Practice Address - Fax:252-631-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO81561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty