=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437095551
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BERRY COUNSELING & CONSULTING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2026
-----------------------------------------------------
Last Update Date | 04/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3350 FOOTBRIDGE LN # 1017
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28306-9694
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-227-9494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3350 FOOTBRIDGE LN # 1017
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28306-9694
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-227-9494
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRYANA GABRIELLE BERRY
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 910-835-6410
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------