Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Ray Butler II, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124544457

Ellis Ray Butler II, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

536 Signal Hill Drive Ext
Statesville, NC 28625-4391
Phone: (704) 872-0234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS20060 (NC)

Record details

NPI number1124544457
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESAugust 18, 2017

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