| Ellis Butler, Ph.d., Llc | |
|
507 W Innes St Ste 270 Salisbury NC 28144-4265 | |
| (704) 738-3655 | |
| Not Available |
| Full Name | Ellis Butler, Ph.d., Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 507 W Innes St Ste 270, Salisbury, North Carolina |
| Authorized Official Name and Position | Ellis R. Butler (EXECUTIVE DIRECTOR/THERAPIST) |
| Authorized Official Contact | 7047383655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Butler, Ph.d., Llc 148 Wesminster Ct Salisbury NC 28146-7456 Ph: (704) 431-2299 | Ellis Butler, Ph.d., Llc 507 W Innes St Ste 270 Salisbury NC 28144-4265 Ph: (704) 738-3655 |
| NPI Number | 1841803038 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841803038 | NPI | - | NPPES |
| 1124544457 | Medicaid | NC |
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