Berry, Constina

Berry, Constina is an individual health care provider with primary practice located at 1221 Taylor St Nw , Washington DC 20011-5617. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Berry, Constina can be contacted via phone (202) 464-9200.

Contact Information

Primary practice address
1221 Taylor St Nw Washington DC 20011-5617
Phone: (202) 464-9200
Fax: (202) 464-5740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADD13912 District of Columbia

Profile Details

NPI number 1255473633
LBN Legal business name Berry, Constina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255473633 NPPES
District of Columbia Other 287814 AMERIGROUP(MEDICAID MCO)
District of Columbia Other 5237 AMERIGROUP(MEDICAID MCO)
District of Columbia Other 23349 AMERIGROUP(MEDICAID MCO)

Popular Providers