Provider Demographics
NPI:1528955069
Name:BUTTERFLY FAMILY THERAPY
Entity type:Organization
Organization Name:BUTTERFLY FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LICSW, PMH-C
Authorized Official - Phone:619-787-9503
Mailing Address - Street 1:317 PECAN RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7424
Mailing Address - Country:US
Mailing Address - Phone:619-787-9503
Mailing Address - Fax:
Practice Address - Street 1:22787 US HIGHWAY 98 BLDG A
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-6375
Practice Address - Country:US
Practice Address - Phone:251-210-9425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty