Individual
TAYLOR BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2217 GRAPEVINE LN, CARROLLTON, TX 75007-3425
(972) 249-6612
Mailing address
2217 GRAPEVINE LN, CARROLLTON, TX 75007-3425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123434
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
03/23/2026
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