Amanda E Butler

Individual provider Active NPI Mental Health Counselor · Siloam Springs, AR

NPI 1285080168 · NPPES record last updated May 10, 2016

Key facts

NPI
1285080168
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
827 W Harvard St
Siloam Springs, AR 72761-4013
Phone
(479) 549-3121
Fax
(479) 750-4843
NPI assigned
May 10, 2016
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

827 W Harvard St
Siloam Springs, AR 72761-4013

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Other providers in Siloam Springs, AR

All providers in Siloam Springs, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.