# BERK STREET ENTERPRISES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berk Street Enterprises, LLC, Zion Healing Gold River, Bravo Personal Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194269159
- **Authorized official:** MRS. JANET LIA PHILLIPS LCSW (OWNER/OPERATOR)
- **Authorized official phone:** (916) 201-3551

## Contact information

- **Practice address:** 2377 GOLD MEADOW WAY STE 100, GOLD RIVER, CA 95670
- **Practice address phone:** (916) 370-6179
- **Mailing address:** 2377 GOLD MEADOW WAY STE 100, GOLD RIVER, CA 95670-4444
- **Mailing address phone:** (916) 201-3551
- **Mailing address fax:** (888) 796-2876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2016
- **Last updated:** 12/23/2023
