Bennie W Butler, LAC, LPC | |
12835 East Arapahoe, Tower2, Ste:440, Centennial, CO 80112 | |
(720) 621-5944 | |
(720) 222-5109 |
Full Name | Bennie W Butler |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 12835 East Arapahoe, Centennial, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376950196 | NPI | - | NPPES |
33704210 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000467 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Westside Behavioral Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851402903 PECOS PAC ID: 8426031774 Enrollment ID: O20040609000453 |
Mailing Address | Practice Location Address |
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Bennie W Butler, LAC, LPC 155 Ardmore St, Castle Rock, CO 80104-8804 Ph: (720) 621-5944 | Bennie W Butler, LAC, LPC 12835 East Arapahoe, Tower2, Ste:440, Centennial, CO 80112 Ph: (720) 621-5944 |
Patricia Gallegos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8115 S Ogden St, Centennial, CO 80122 Phone: 303-587-8115 | |
Mrs. Diane Jennette Strouse, LPC, NCC, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7200 S Alton Way, Ste A290, Centennial, CO 80112 Phone: 720-593-1715 Fax: 866-326-1303 | |
Susan Kaye Deboer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6075 S Quebec St, Suite 202, Centennial, CO 80111 Phone: 303-489-7915 | |
Jonathan Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7173 S Havana St Ste 100, Centennial, CO 80112 Phone: 720-314-8031 | |
Ameerah Amy Kais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4961 S Ensenada Way, Centennial, CO 80015 Phone: 720-460-8410 | |
William Herbert Friesen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12835 E Arapahoe Rd Ph Floor, Centennial, CO 80112 Phone: 701-729-2280 | |
Ryan Hambley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6464 S Quebec St Ste 300, Centennial, CO 80111 Phone: 401-375-0303 |