Provider Demographics
NPI:1528671666
Name:BUTTON, DANIEL (MS, IMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:BUTTON
Suffix:
Gender:M
Credentials:MS, IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16919 TRITE BEND ST
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-4174
Mailing Address - Country:US
Mailing Address - Phone:567-307-0007
Mailing Address - Fax:
Practice Address - Street 1:16919 TRITE BEND ST
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598
Practice Address - Country:US
Practice Address - Phone:567-307-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2100164106H00000X
OHF.2300324106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist