Provider Demographics
NPI:1114137445
Name:BUTLER, LAURA BROOKE (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BROOKE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BROOKE
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:449 MARSHALL LN
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-7492
Mailing Address - Country:US
Mailing Address - Phone:919-909-9617
Mailing Address - Fax:
Practice Address - Street 1:449 MARSHALL LN
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7492
Practice Address - Country:US
Practice Address - Phone:919-909-9617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health