Berry, Kayrene K

Berry, Kayrene K is an sole proprietor health care provider with primary practice located at 204 S Main St Ste 195 , Keller TX 76248-5011. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Berry, Kayrene K can be contacted via phone (254) 383-3403.

Contact Information

Primary practice address
204 S Main St Ste 195 Keller TX 76248-5011
Fax: (817) 697-4435
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5349 Texas

Profile Details

NPI number 1063429884
LBN Legal business name Berry, Kayrene K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jun 15th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063429884 NPPES
Texas MEDICAID 027848303

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