Organization
ELLIS BUTLER, PH.D., LLC
Active
Other names
Elijah Restoration Counseling, Project Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS R. BUTLER II PHD (EXECUTIVE DIRECTOR/THERAPIST)
(704) 738-3655
Entity
Organization
Contact information
Practice address
507 W INNES ST STE 270, SALISBURY, NC 28144-4265
(704) 738-3655
Mailing address
148 WESMINSTER CT, SALISBURY, NC 28146-7456
(704) 431-2299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124544457
—
NC
Enumeration date
08/26/2020
Last updated
08/26/2020
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