Provider Demographics
NPI:1316243553
Name:BUTLER, MARGARET LEATHERMAN (LMFTA)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LEATHERMAN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5902
Mailing Address - Country:US
Mailing Address - Phone:704-226-1352
Mailing Address - Fax:704-282-9362
Practice Address - Street 1:604 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5902
Practice Address - Country:US
Practice Address - Phone:704-226-1352
Practice Address - Fax:704-282-9362
Is Sole Proprietor?:No
Enumeration Date:2011-02-06
Last Update Date:2011-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7037A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist