Individual provider · NPI-1

Christina Sledge Berry, MS, LMHC

Counselor, Mental Health · Crestview, FL

NPI number1770949679
StatusActive
Last updated in NPPESAug 24, 2022

Details

NPI
1770949679
Entity type
Individual (NPI-1)
Name
Christina Sledge Berry
Credential
MS, LMHC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 7, 2016
Certification date
Aug 24, 2022
Last updated
Aug 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH16397FLYes
101Y00000X CounselorMH16397FL
171W00000X ContractorIMH14347FL

Practice location

6268 Old Bethel Rd
Crestview, FL 32536-5505

Phone 850-353-2677

Mailing address

6268 Old Bethel Rd
Crestview, FL 32536-5505

Phone 850-353-2677

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