The Butterfly Effect Therapy & Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE BUTTERFLY EFFECT THERAPY & WELLNESS

Practice address

7753 1St Ave S
Birmingham, AL 35206-4312

Phone

(205) 774-8442

Fax

(205) 278-8769

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Tamara Boncia Blackledge Burr, LICSW

Title

Owner

Phone

(205) 774-8442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1881244333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 27TH AVE NW",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352152424",
            "telephone_number": "205-774-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7753 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352064312",
            "telephone_number": "205-774-8442",
            "fax_number": "205-278-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BUTTERFLY EFFECT THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BLACKLEDGE BURR",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BONCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-774-8442",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.