Ellis Butler, Ph.D., Llc
LBN: Ellis Butler, Ph.D., Llc
Ellis Butler, Ph.D., Llc is an health care organization with primary practice located at 507 W Innes St Ste 270 , Salisbury NC 28144-4265. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Ellis Butler, Ph.D., Llc can be contacted via phone (704) 738-3655, or through Butler, Ellis R. via phone (704) 738-3655.
Contact Information
Primary practice address
507 W Innes St Ste 270
Salisbury NC 28144-4265
Phone: (704) 738-3655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1841803038 |
|---|---|
| LBN Legal business name | Ellis Butler, Ph.D., Llc |
| DBA Doing business as | |
| Authorized official | Butler, Ellis R. PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2020 |
| Last updated | Aug 26th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841803038 | NPPES |
| North Carolina | MEDICAID | 1124544457 |
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