Butler, Mindy

Butler, Mindy is an individual health care provider with primary practice located at 87 S High St , Bridgton ME 04009-1123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Butler, Mindy can be contacted via phone (207) 647-5600.

Contact Information

Primary practice address
87 S High St Bridgton ME 04009-1123
Phone: (207) 647-5600
Fax: (207) 647-5608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC5752 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X XL4553 Maine

Profile Details

NPI number 1861885824
LBN Legal business name Butler, Mindy
Credentials LCPC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2015
Last updated Nov 13th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861885824 NPPES
Maine Other XL4553 LICENSED CLINICAL PROFESSIONAL COUNSELOR CONDITIONAL

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