Individual
GOLDEN KEITH BERRY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(318) 574-1232
Mailing address
1716 MAPLE ST, WINNSBORO, LA 71295-3529
(318) 537-1118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
11/22/2025
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