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
Phone: (254) 383-3403
Fax: (817) 697-4435
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063429884 | NPPES |
Texas | MEDICAID | 027848303 |
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