Healthcare Provider Details

I. General information

NPI: 1033040217
Provider Name (Legal Business Name): BARRY BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 BYRON STATION DR SW
BYRON CENTER MI
49315-9482
US

IV. Provider business mailing address

3839 W DE BLAAY CT SE
KENTWOOD MI
49512-9504
US

V. Phone/Fax

Practice location:
  • Phone: 616-287-3829
  • Fax:
Mailing address:
  • Phone: 616-287-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN BARRY
Title or Position: OWNER
Credential: LMSW
Phone: 440-666-2995