DEVORIA KEATON BERRY (NPI# 1942672761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942672761 |
| Entity Type | Individual |
| Full Name | DEVORIA KEATON BERRY |
| Practice Address |
817b S Madison St Whiteville NC 28472-4613 |
| Mailing Address |
44 Dream Ave Delco NC 28436-8700 |
| Practice Telephone | 9102076761 |
| Mailing Telephone | (910) 655-0698 |
| Mailing Fax Number | 9106550611 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-21951 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P010377 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44 Dream Ave, Delco, NC 284368700 | 9106550698 | 9106550611 |
| Street Address |
817B S MADISON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952531188 | Life Changingbehavioral Health Services | Counselor | 817b S Madison St, Whiteville, NC 28472-4613 | 2009-07-22 |
| 1275864266 | Life Changing Behavioral Health Services | Community/Behavioral Health | 817b S Madison St, Whiteville, NC 28472-4613 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185378 | Shenicka Mccollum | Counselor | 156 Mosley Moore Dr, Whiteville, NC 28472-8647 | 2012-09-05 |
| 1659471928 | Kimberly L. Steed | Counselor | 805 N Franklin St, Suite 8, Whiteville, NC 28472-2703 | 2006-09-25 |
| 1629686381 | Courtney Briann Blackledge | Counselor | 110 Premiere Plz, Whiteville, NC 28472-2522 | 2020-07-20 |
| 1275991150 | Lenzy O'dell Graham | Counselor | 603 S Madison St, Whiteville, NC 28472-4129 | 2016-02-05 |
| 1124496963 | Pinnacle Family Services of North Carolina LLC | Counselor | 800 Jefferson St, Suite 114, Whiteville, NC 28472-3710 | 2015-09-10 |
| 1285046565 | Kayla Bowen | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2014-05-21 |
| 1164775961 | Ethel Dolores Warner | Counselor | 118 E Walter St, Whiteville, NC 28472-4142 | 2012-10-18 |
| 1801146725 | Anajinette Owens | Counselor | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2012-09-18 |
| 1336498468 | Erin Bosley Warlick | Counselor | 732 Davis Ave, Whiteville, NC 28472-6002 | 2012-09-05 |
| 1245589795 | Carenet, Inc. | Counselor | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2012-08-30 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on DEVORIA KEATON BERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.