| Ms Tina Marie Butler, LPC | |
|
105 E Union Ave, Bound Brook, NJ 08805 | |
| (732) 469-7899 | |
| Not Available |
| Full Name | Ms Tina Marie Butler |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 27 Years |
| Location | 105 E Union Ave, Bound Brook, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790997575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC000281300 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Medical Group Llc | 0446510895 | 4 |
| Entity Name | Grace Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003323155 PECOS PAC ID: 0446510895 Enrollment ID: O20180205001750 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tina Marie Butler, LPC 217 Lexington Blvd, Apt 25, Clark, NJ 07066 Ph: (908) 590-4794 | Ms Tina Marie Butler, LPC 105 E Union Ave, Bound Brook, NJ 08805 Ph: (732) 469-7899 |
Dr. Jennifer K Dixon, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 W High St, Bound Brook, NJ 08805 Phone: 732-322-9766 | |
Donna Puglia, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Ivelisse A Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Heather Cooper Barry, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Jacqueline M Miller, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Victoria Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Tea St Apt 2104, Bound Brook, NJ 08805 Phone: 973-855-1272 | |
Mrs. Debra Hurt, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 758 Mountain Ave, Bound Brook, NJ 08805 Phone: 732-868-0848 |