Laura L Berry | Shoreline, WA • PECOS Search

Laura L Berry

Counselor

Behavioral Health & Social Service Providers

16715 Aurora Ave N, Shoreline, WA 98133-5310

(206) 546-9766 (708) 232-0259

PECOS Enrollment

Based on the most recent information from CMS, provider Laura L Berry does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376819342
Provider Type
Individual
Full Name
Berry, Laura L
Credential
NCC, WASHINGTON LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/23/2012
Last Updated
5/15/2024

Contact Information

Practice Location

16715 Aurora Ave N, Shoreline, WA 98133-5310

Unlisted Fax

Mailing Location

1717 Colby Ave, Everett, WA 98201-2031

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer