Brooke Butler

Individual provider Active NPI Mental Health Counselor · Angola, IN

NPI 1124805767 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1124805767
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
200 Hoosier Dr Ste E
Angola, IN 46703-9349
Phone
(260) 624-3741
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

200 Hoosier Dr Ste E
Angola, IN 46703-9349

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Other providers in Angola, IN

All providers in Angola, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.