MEDICARE: CAYLA BERRY GREENWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	18768	NC

General Provider Information

NPI Number	:	1457045205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAYLA BERRY GREENWAY

Provider Business Mailing Address
First Line	:	6128 ROXBURY CT
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-8606
Country	:	US
Telephone Number	:	336-978-8423
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 N MAIN ST STE 210
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-4003
Country	:	US
Telephone Number	:	336-283-3830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	01/19/2026

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Directions to “ CAYLA BERRY GREENWAY ” Practice Location

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