Provider Demographics
NPI:1205712924
Name:BUTLER, ROBIN (CD, CLC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CD, CLC
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MERO
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD, CLC
Mailing Address - Street 1:204 COUNTY ROAD 5054
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-9370
Mailing Address - Country:US
Mailing Address - Phone:479-957-4235
Mailing Address - Fax:
Practice Address - Street 1:204 COUNTY ROAD 5054
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-9370
Practice Address - Country:US
Practice Address - Phone:479-957-4235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula