Provider Demographics
NPI:1801696117
Name:BERRY, SONYA LACHELLE
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:LACHELLE
Last Name:BERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633 SWANSONG LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-2158
Mailing Address - Country:US
Mailing Address - Phone:937-301-9345
Mailing Address - Fax:
Practice Address - Street 1:2633 SWANSONG LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-2158
Practice Address - Country:US
Practice Address - Phone:937-301-9345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator