Healthcare Provider Details

I. General information

NPI: 1093628570
Provider Name (Legal Business Name): BERRY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GREENFIELD RD STE 321
DEARBORN MI
48120-1800
US

IV. Provider business mailing address

24360 BOSTON ST
DEARBORN MI
48124-3116
US

V. Phone/Fax

Practice location:
  • Phone: 734-709-1461
  • Fax:
Mailing address:
  • Phone: 313-817-8703
  • 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: MS. YASMEEN BERRY
Title or Position: OWNER
Credential: LMSW
Phone: 734-709-1461