Healthcare Provider Details

I. General information

NPI: 1730003393
Provider Name (Legal Business Name): AERIAL M CURTIS BERRY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25955 W 327TH ST
PAOLA KS
66071-4920
US

IV. Provider business mailing address

PO BOX 677
OTTAWA KS
66067-0677
US

V. Phone/Fax

Practice location:
  • Phone: 913-557-9096
  • Fax: 913-294-9247
Mailing address:
  • Phone: 913-557-9096
  • Fax: 913-294-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number05521
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: