Individual ProviderKatina BerryCounselorBehavioral Health & Social Service ProvidersPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185(678) 408-4622PECOS EnrollmentBased on the most recent information from CMS, provider Katina Berry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902447519Provider TypeIndividualFull NameBerry, KatinaGenderFemaleSole ProprietorYesEnumeration Date10/4/2019Last Updated10/4/2019Contact InformationPractice LocationPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185Phone(678) 408-4622FaxUnlisted FaxMailing LocationMailing Address1815 N Expressway Ste B, Griffin, GA 30223-1185PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer