Provider Demographics
NPI:1932918026
Name:BUTTERFLY HAVEN LLC
Entity type:Organization
Organization Name:BUTTERFLY HAVEN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP
Authorized Official - Phone:434-429-8543
Mailing Address - Street 1:208 SEMINOLE TRL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1871
Mailing Address - Country:US
Mailing Address - Phone:434-429-8543
Mailing Address - Fax:434-425-0843
Practice Address - Street 1:208 SEMINOLE TRL
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1871
Practice Address - Country:US
Practice Address - Phone:434-429-8543
Practice Address - Fax:434-425-0843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEE CORPORATE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-02
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health