Berry, Jermaine
Berry, Jermaine is an individual health care provider with primary practice located at 2314 Kenworthy Dr , Missouri City TX 77459-2104. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Berry, Jermaine can be contacted via phone (832) 997-8854.Contact Information
Primary practice address
2314 Kenworthy Dr
Missouri City TX 77459-2104
Phone: (832) 997-8854
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
| NPI number | 1316544471 |
|---|---|
| LBN Legal business name | Berry, Jermaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2020 |
| Last updated | Oct 1st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316544471 | NPPES |
| Texas | Other | 01262018 | COUNCELOR |
| Texas | MEDICAID | 09072018 | COUNCELOR |
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