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NPI Code Detail

MEDICARE: ZYEISHA BERRY LAPC

MEDICARE: ZYEISHA BERRY LAPC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1851148639
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZYEISHA BERRY LAPC
Provider Business Mailing Address
First Line : 1 HUNTINGTON RD STE 703
Second Line :
City : ATHENS
State : GA
Zip : 30606-7214
Country : US
Telephone Number : 706-425-8900
Fax Number : 706-425-8600
Provider Business Practice Location Address
First Line : 2298 BROCKETT RD
Second Line :
City : TUCKER
State : GA
Zip : 30084-4414
Country : US
Telephone Number : 706-425-8900
Fax Number : 706-425-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 09/17/2025

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Directions to “ ZYEISHA BERRY LAPC” Practice Location

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