Kevin Berry, LMHC | |
1908 Griffins Green Blvd, Bartow, FL 33830-7930 | |
(863) 667-8570 | |
Not Available |
Full Name | Kevin Berry |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1908 Griffins Green Blvd, Bartow, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861175275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH22274 (Florida) | Secondary |
101Y00000X | Counselor | MH22274 (Florida) | Primary |
Entity Name | Lakeland Regional Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
Mailing Address | Practice Location Address |
---|---|
Kevin Berry, LMHC 1908 Griffins Green Blvd, Bartow, FL 33830-7930 Ph: (863) 667-8570 | Kevin Berry, LMHC 1908 Griffins Green Blvd, Bartow, FL 33830-7930 Ph: (863) 667-8570 |
Youlaunda Lashawn Wright-speed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Forrest Dr, Bartow, FL 33830 Phone: 863-440-6230 | |
Jessica Little, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251 | |
Travis Risner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251 | |
Myriam M Buitrago, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 | |
Chad Feacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 | |
Joni Irene Nelson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 S Central Ave, Bartow, FL 33830 Phone: 863-585-3247 | |
Michael Scott Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 |