Individual
TYRANIQUE HARDING BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PLPC
Contact information
Practice address
2590 LA-1, THIBODAUX, LA 70301
(985) 313-1093
Mailing address
2590 LA-1, THIBODAUX, LA 70301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PLC9728
LA
Other
Enumeration date
04/03/2018
Last updated
05/09/2025
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