Butler, Antwan Raheem
Butler, Antwan Raheem is an sole proprietor health care provider with primary practice located at 6808 Jefferson Paige Rd , Shreveport LA 71119-3302. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Butler, Antwan Raheem can be contacted via phone (318) 564-2208.Contact Information
Primary practice address
6808 Jefferson Paige Rd
Shreveport LA 71119-3302
Phone: (318) 564-2208
Fax: (318) 525-9007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9084 | Louisiana |
Profile Details
| NPI number | 1528461480 |
|---|---|
| LBN Legal business name | Butler, Antwan Raheem |
| Credentials | LCSW-BACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2014 |
| Last updated | Oct 6th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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