# DA'BERRIES ETC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649011172
- **Authorized official:** LEENISE WALKER (OWNER)
- **Authorized official phone:** (850) 393-8986

## Contact information

- **Practice address:** 8199 MCKENZIE PL, LITHONIA, GA 30058-5291
- **Practice address phone:** (850) 393-8986
- **Mailing address:** 8199 MCKENZIE PL, LITHONIA, GA 30058-5291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2024
- **Last updated:** 06/06/2024