Provider Demographics
NPI:1184294399
Name:BUTLER, MEAGAN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 TULANE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4145
Mailing Address - Country:US
Mailing Address - Phone:832-459-5198
Mailing Address - Fax:
Practice Address - Street 1:3730 KIRBY DR STE 930
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3933
Practice Address - Country:US
Practice Address - Phone:832-459-5198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health