NPIMap

Organization Active NPI

Dove Healing Center LLC

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1346950557
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DOVE HEALING CENTER LLC
Practice address
2530 Scottsville Rd Ste 22
Bowling Green, KY 42104-6509
Phone
(270) 599-0847
Fax
(270) 418-3329
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lateisha Butler, LCSWNPI 1124421367
Title
Owner and Operator
Phone
(270) 599-0847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2530 Scottsville Rd Ste 22
Bowling Green, KY 42104-6509

Mailing address

2530 Scottsville Rd Ste 22
Bowling Green, KY 42104-6509
Phone (270) 599-0847

Other names 1

  • Dove Healing Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251015001823 KY Part B Supplier - Clinic/Group Practice 4789171570 Receives reassigned benefits from 1 practitioner
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

2530 Scottsville Rd
Ste 22
Bowling Green, KY 42104
Phone (270) 599-0847

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1346950557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046509",
            "telephone_number": "270-599-0847",
            "fax_number": "270-418-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046509",
            "telephone_number": "270-599-0847",
            "fax_number": "270-418-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LATEISHA",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "270-599-0847",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healing Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dove Healing Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.