REBECCA E BERRY LICDC NPI 1639835812

NPI Information

  • NPI: 1639835812
  • Provider Name: REBECCA E BERRY, LICDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 13330 DETROIT AVE
    LAKEWOOD, OH
    ZIP 44107
  • Phone: (440) 821-5820

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NPI Details

Rebecca E Berry, LICDC is an addiction (substance use disorder) counselor in Lakewood, OH. Rebecca E Berry, LICDC NPI is 1639835812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13330 DETROIT AVE
LAKEWOOD, OH
ZIP 44107-850
Phone: (440) 821-5820

The enumeration date for this NPI number is 11/12/2021 and was last updated on 3/25/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LICDC.162731OHIOYes

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: 3/30/2025

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