Lashaitrend Berry

Individual provider Active NPI Mental Health Counselor · Bunkie, LA

NPI 1013379973 · NPPES record last updated Mar 22, 2016

Key facts

NPI
1013379973
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
408 Floyd St
Bunkie, LA 71322-1604
Phone
(318) 613-6015
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

408 Floyd St
Bunkie, LA 71322-1604

Mailing address

408 Floyd St
Bunkie, LA 71322-1604
Phone (318) 613-6015

Other providers in Bunkie, LA

All providers in Bunkie, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.