TIMOTHY DAVID BERRY LMHC NPI 1336815695

NPI Information

NPI: 1336815695
Provider Name: TIMOTHY DAVID BERRY, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13300 ATLANTIC BLVD APT 924
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 527-5202
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Timothy David Berry, LMHC is a mental health counselor in Jacksonville, FL. Timothy David Berry, LMHC NPI is 1336815695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13300 ATLANTIC BLVD APT 924
JACKSONVILLE, FL
ZIP 32225-137
Phone: (904) 527-5202

The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH19286	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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