Carmen Delores Butler
Individual provider Active NPI Counselor · Del City, OK
NPI 1679984231 · NPPES record last updated May 16, 2014
Key facts
- NPI
- 1679984231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4337 SE 15TH St
Del City, OK 73115-3001 - Phone
- (405) 609-1760
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynasty Care Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4337 SE 15TH St
Del City, OK 73115-3001
Mailing address
1708 N.E. 48TH
Oklahoma City, OK 73111
Phone (405) 410-5872
Other providers in Del City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.