Individual
MRS. HEIDI ANN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CSAC
Contact information
Practice address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 496-4700
Mailing address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 892-4322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12079-131
WI
101YM0800X
Mental Health Counselor
6868-123
WI
1041C0700X
Clinical Social Worker
Primary
6868-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050101
—
WI
Enumeration date
02/05/2007
Last updated
03/02/2026
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