Most Relevant Information
Provider Data
| NPI Number: | 1003327289 |
| Provider Name: | HEATHER RENEE BUTLER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 3870 |
Most Important Dates
| Enumeration Date: | 10/16/2017 |
| Last Updated: | 10/16/2017 |
Provider Practice Location
101 WIND HAVEN DR STE 203
NICHOLASVILLE
KY
403568035
Practice Location Phone/Fax
| Phone: | 8597971058 |
| Fax: |
Provider Mailing Location
101 WIND HAVEN DR STE 203
NICHOLASVILLE
KY
403568035
Provider Mailing Phone/Fax
| Phone: | 8597971058 |
| Fax: |