Bernard Butts in Casa Grande - Addiction (substance Use Disorder)

Bernard Butts - NPI 1528143625

Bernard Butts is a Addiction (substance Use Disorder) in Casa Grande, Arizona. Bernard Butts practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bernard Butts is 1528143625. The last update date is 2007-07-08.

Bernard Butts's current location address is 210 E Cottonwood Ln, Casa Grande, Arizona. You can contact this provider via phone number 5208361688 and fax number 5208761796. The mailing address for Bernard Butts is 210 E Cottonwood Ln, Casa Grande, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernard Butts
Address 210 E Cottonwood Ln, Casa Grande, Arizona
Phone Number 5208361688
Fax Number 5208761796
Sole Proprietor N
Credentials LISAC

NPI Number Detail

NPI Number 1528143625
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 210 E Cottonwood Ln
City Casa Grande
State Arizona (AZ)
Post Code 852222514
Phone Number 5208361688
Fax Number 5208761796

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LISAC-10497
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LISAC-10497 AZ LISAC

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FAQs about Bernard Butts

What is the unique identifier code issued to Bernard Butts by the Centers for Medicare & Medicaid Services (CMS)?

The Bernard Butts has been assigned the NPI (National Provider Identifier) 1528143625. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Bernard Butts located?

The Bernard Butts is located at 210 E Cottonwood Ln, Casa Grande, AZ 852222514.

What is the Bernard Butts's specialty and taxonomy code?

The Bernard Butts's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528143625 to Bernard Butts?

The Bernard Butts received its 1528143625 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date was the information regarding Bernard Butts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bernard Butts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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