Individual
LATEISHA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2530 SCOTTSVILLE RD STE 22, BOWLING GREEN, KY 42104-6509
(270) 599-0847
(270) 418-3329
Mailing address
2530 SCOTTSVILLE RD STE 22, BOWLING GREEN, KY 42104-6509
(270) 599-0847
(270) 418-3329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100487730
—
KY
Enumeration date
10/02/2014
Last updated
09/24/2025
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