Individual ProviderCameron R Butler-DavisCounselorBehavioral Health & Social Service ProvidersPractice Address1923 J N Pease Pl Ste 104, Charlotte, NC 28262-4534(865) 293-2722PECOS EnrollmentBased on the most recent information from CMS, provider Cameron R Butler-Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194505255Provider TypeIndividualFull NameButler-Davis, Cameron RCredentialLCMHCAGenderMaleSole ProprietorNoEnumeration Date10/4/2023Last Updated10/4/2023Contact InformationPractice LocationPractice Address1923 J N Pease Pl Ste 104, Charlotte, NC 28262-4534Phone(865) 293-2722FaxUnlisted FaxMailing LocationMailing Address1923 J N Pease Pl Ste 104, Charlotte, NC 28262-4534Phone(865) 293-2722FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseA18258North Carolina