| Laura Butts | |
|
223 N Illinois St Belleville IL 62220-1316 | |
| (618) 474-9733 | |
| Not Available |
| Full Name | Laura Butts |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 223 N Illinois St, Belleville, Illinois |
| Authorized Official Name and Position | Laura Butts (OWNER) |
| Authorized Official Contact | 2175201086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Butts 223 N Illinois St Belleville IL 62220-1316 Ph: (618) 474-9733 | Laura Butts 223 N Illinois St Belleville IL 62220-1316 Ph: (618) 474-9733 |
| NPI Number | 1922714427 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922714427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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