| Latitia Butler, LPC | |
|
850 Mayfield Rd Ste 203, Milton, GA 30009-3012 | |
| (470) 805-5040 | |
| Not Available |
| Full Name | Latitia Butler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 850 Mayfield Rd Ste 203, Milton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659167526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC015621 (Georgia) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Latitia Butler, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (470) 805-5040 | Latitia Butler, LPC 850 Mayfield Rd Ste 203, Milton, GA 30009-3012 Ph: (470) 805-5040 |
Ms. Cynthia Bryant Park, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13560 Cogburn Rd, Milton, GA 30004 Phone: 703-888-7263 | |
Kimberly Saunders, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 830 Freemanwood Ln, Milton, GA 30004 Phone: 404-906-8233 | |
Theresa Michelle Shirey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Mayfield Rd Ste 203, Milton, GA 30009 Phone: 470-805-5040 | |
Lauren Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2375 Old Northpark Ln, Milton, GA 30004 Phone: 404-313-0603 |