Provider Demographics
NPI:1770862898
Name:BERRY, KRISTINA NOBLE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:NOBLE
Last Name:BERRY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:801 COLLEGE OAKS LN
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-9001
Mailing Address - Country:US
Mailing Address - Phone:850-630-4860
Mailing Address - Fax:850-248-2468
Practice Address - Street 1:1701 TENNESSEE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-4208
Practice Address - Country:US
Practice Address - Phone:850-867-6777
Practice Address - Fax:850-248-2469
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-07
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health