Elizabeth Berry
Individual provider Active NPI Counselor · Lagrange, GA
NPI 1831711340 · NPPES record last updated May 7, 2020
Key facts
- NPI
- 1831711340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 122 Gordon Commercial Dr
Lagrange, GA 30240-5754 - Phone
- (706) 845-4054
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
122 Gordon Commercial Dr
Lagrange, GA 30240-5754
Mailing address
122 Gordon Commercial Dr
Lagrange, GA 30240-5754
Phone (706) 845-4054
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.