| Doctor Name: | MS. GINA L'OR'EAL BERRY |
| NPI Number: | 1013357896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLBSW |
| License Number: | |
| Business Practice Address: | 420 W. Fifth Ave. Flint, MI - 48503 |
| Business Phone Number: | 8104965342 |
| Business Fax Number: | 8107625234 |
| Mailing Address: | 420 W. Fifth Ave., FLINT |
| State: | MI |
| Postal Code: | 48503 |
| Phone Number: | 8104965342 |
| Fax Number: | 8107625234 |
| NPI Enumeration Date: | 06/26/2013 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |