O'Berry, Kendra Elise

O'Berry, Kendra Elise is an individual health care provider with primary practice located at 534 Dove St , North Augusta SC 29841-2982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. O'Berry, Kendra Elise can be contacted via phone (404) 759-5467.

Contact Information

Primary practice address
534 Dove St North Augusta SC 29841-2982
Phone: (404) 759-5467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW007182 Georgia

Profile Details

NPI number 1184187353
LBN Legal business name O'Berry, Kendra Elise
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated Dec 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184187353 NPPES
South Carolina Other 12108 SC LICENSURE

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