| Heather Berry Counseling, Inc | |
|
6501 Wofford Blvd Unit A Wofford Heights CA 93285-9800 | |
| (760) 417-2392 | |
| (760) 417-2392 |
| Full Name | Heather Berry Counseling, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 6501 Wofford Blvd Unit A, Wofford Heights, California |
| Authorized Official Name and Position | Heather Sandra Berry (OWNER) |
| Authorized Official Contact | 7604172392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Berry Counseling, Inc Po Box 363 Wofford Heights CA 93285-0363 Ph: (760) 417-2392 | Heather Berry Counseling, Inc 6501 Wofford Blvd Unit A Wofford Heights CA 93285-9800 Ph: (760) 417-2392 |
| NPI Number | 1033621610 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 11/03/2017 |
| Medicare PECOS PAC ID | 8224396965 |
|---|---|
| Medicare Enrollment ID | O20171229001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033621610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS18232 (California) | Primary |
| Provider Name | Heather S Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578609483 PECOS PAC ID: 3971689530 Enrollment ID: I20101025001191 |
| Provider Name | Lisa L Wyly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770610040 PECOS PAC ID: 8628424918 Enrollment ID: I20231023001956 |
Family Preservation Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6505 Wofford Heights Blvd, Wofford Heights, CA 93285 Phone: 760-376-4100 |