Individual
AMIE M BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4651 SALISBURY ROAD SOUTH, 4TH FLOOR, SUITE 428, JACKSONVILLE, FL 32256-5506
(904) 748-9106
(888) 244-7481
Mailing address
13820 OLD ST. AUGUSTINE ROAD, SUITE 113-166, JACKSONVILLE, FL 32258-5506
(904) 748-9106
(888) 247-7481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW9352
FL
1041C0700X
Clinical Social Worker
SW9352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004222300
—
FL
Enumeration date
11/19/2009
Last updated
02/10/2020
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