DEBRICA BUTLER (NPI# 1699294207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699294207 |
| Entity Type | Individual |
| Full Name | DEBRICA BUTLER |
| Practice Address |
1021 Oak Chase Dr. Apt C Tucker GA 30084 |
| Mailing Address |
1021 Oak Chase Dr Apt C Tucker GA 30084-8794 |
| Practice Telephone | (678) 499-6294 |
| Mailing Telephone | 6784996294 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1021 OAK CHASE DR. APT C |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| 1396114674 | Ashley Carrigan | Behavioral Analyst | 3786 Lavista Road, Suite 104, Tucker, GA 30084 | 2015-09-17 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418247 | Shawnquita L. Shedrick | Counselor | 1462 Montreal Rd Ste 118, Tucker, GA 30084-6904 | 2020-08-18 |
| 1730729807 | Shana Styles Trimble | Counselor | 3568 Habersham At Northlake, Bldg K, Tucker, GA 30084-3008 | 2020-01-07 |
| 1801325709 | Amber Brown | Counselor | 3469 Lawrenceville Hwy Ste 202, Tucker, GA 30084-5866 | 2017-06-06 |
| 1306146311 | Adrienne D. White | Counselor | 6371 Wedgewood Trce, Tucker, GA 30084-1391 | 2010-10-25 |
| 1962623140 | Rebecca Holt Compton | Counselor | 4823 N. Royal Atlanta Dr., Tucker, GA 30084 | 2007-05-02 |
| 1790391134 | William Edward Spencer | Counselor | 3552 Habersham At Northlake, Tucker, GA 30084-4009 | 2020-09-21 |
| 1952914350 | Holly Varona | Counselor | 2370 Main St, Tucker, GA 30084-4456 | 2020-08-25 |
| 1326562729 | Tammera Lee | Counselor | 2362 Main St Ste B, Tucker, GA 30084-4477 | 2017-07-28 |
| 1477092724 | Patricia Wilson | Counselor | 3547 Habersham At Northlake, Building F, Tucker, GA 30084-4001 | 2017-02-20 |
| 1104274273 | Simone Mendez | Counselor | 2362 Main St Ste B, Tucker, GA 30084-4477 | 2016-05-31 |
| Find all providers in TUCKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.