Provider Demographics
NPI:1982177713
Name:BUTTERFLIES PROSPERING WELLNESS CO.
Entity Type:Organization
Organization Name:BUTTERFLIES PROSPERING WELLNESS CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-791-5815
Mailing Address - Street 1:4507 GOLDEN GATE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4013
Mailing Address - Country:US
Mailing Address - Phone:125-463-0721
Mailing Address - Fax:
Practice Address - Street 1:3300 E CENTRAL TEXAS EXPY STE 301
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5306
Practice Address - Country:US
Practice Address - Phone:254-791-5815
Practice Address - Fax:254-442-0149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty