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Organization

PROFESSIONAL CONSULTING & COUNSELING SERVICES

Active
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Organization

PROFESSIONAL CONSULTING & COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEVORIA K BERRY MSW, LCSW, LCASA (CEO)
(910) 297-4230
Entity
Organization

Contact information

Practice address
27056 ANDREW JACKSON HWY E, DELCO, NC 28436-8200
(910) 297-4230
(910) 655-0611
Mailing address
PO BOX 31, RIEGELWOOD, NC 28456-0031
(910) 297-4230
(910) 655-0611

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12771
LISW CP
SC
01
21951
LICENSED CLINICAL ADDICTION SPECIALIST, ASSOCIATE
NC
01
28389
CLINICALLY CERTIFIED SEX OFFENDER TREATMENT SPECIALIST
NC
01
C01149
LCSW
NC
Enumeration date
10/11/2018
Last updated
01/16/2025
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