Provider Demographics
NPI:1548048911
Name:BUTLER, LEKIA R
Entity type:Individual
Prefix:
First Name:LEKIA
Middle Name:R
Last Name:BUTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7204 BLACKWELL DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5637
Mailing Address - Country:US
Mailing Address - Phone:216-644-3673
Mailing Address - Fax:
Practice Address - Street 1:7215 LYNBROOK DR
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-5952
Practice Address - Country:US
Practice Address - Phone:216-644-3673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health