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Contact Information

LICIA BERRY-BERARD, MSW, LICSW LLC
321 ROUTE 113
THETFORD, VT05054
 Phone: 802-565-0424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LICIA BERRY-BERARD, MSW, LICSW LLC

NPI # 1124891809
LBN Legal business name LICIA BERRY-BERARD, MSW, LICSW LLC
Authorized official LICIA BERRY-BERARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2023
Last updated 01/02/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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