Healthcare Provider Details

I. General information

NPI: 1326144395
Provider Name (Legal Business Name): DARLENE BERRY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DARLENE ARMSTRONG

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 N HIGHLAND AVE
GRANITE FALLS NC
28630-1205
US

IV. Provider business mailing address

13575 58TH ST N SUITE 187
CLEARWATER FL
33760-3740
US

V. Phone/Fax

Practice location:
  • Phone: 800-632-6074
  • Fax:
Mailing address:
  • Phone: 800-632-6074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC003362
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: