GRACIE BERRY (NPI# 1083094577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083094577 |
| Entity Type | Individual |
| Full Name | GRACIE BERRY |
| Credential | BS |
| Practice Address |
413 Church St Lancaster PA 17602 |
| Mailing Address |
413 Church St Lancaster PA 17602-4413 |
| Practice Telephone | 4139311564 |
| Mailing Telephone | 4139311564 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
413 CHURCH ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| 1134479744 | Kindred Health Care | Skilled Nursing Facility | 900 East King St, Lancaster, PA 17602 | 2012-09-12 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1316550213 | Jennifer Hoffmann | Counselor | 44447 10th St W # C, Lancaster, CA 93534-3324 | 2020-08-28 |
| 1124631130 | Ruben Daniel Ruiz Sr. | Counselor | 1053 E Avenue K # 40, Lancaster, CA 93535-4810 | 2020-08-28 |
| 1306454970 | Kirk Evans | Counselor | 3670 Shiloh Unity Rd, Lancaster, SC 29720-7323 | 2020-07-20 |
| 1164053864 | John Mcglothin | Counselor | 220 Pioneer Ct, Lancaster, TX 75146-3035 | 2020-01-31 |
| 1306476528 | Kelly Mason | Counselor | 313 W Liberty St Ste 124, Lancaster, PA 17603-2766 | 2020-01-16 |
| 1306483607 | Alexis Milner | Counselor | 1470 New Danville Pike Apt D, Lancaster, PA 17603-9214 | 2019-12-05 |
| 1508418336 | Marilyn Kay Thomas | Counselor | 1812 Pioneer Way, Lancaster, TX 75146-1902 | 2019-07-11 |
| 1669948832 | Cynthia Diane Hunter-spears | Counselor | 43845 10th St W Ste 1d, Lancaster, CA 93534-4800 | 2018-10-15 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.