Provider Demographics
NPI:1871623868
Name:HIGH POINT FAMILY THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:HIGH POINT FAMILY THERAPY SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:336-991-6620
Mailing Address - Street 1:812 FERNDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4714
Mailing Address - Country:US
Mailing Address - Phone:336-505-5484
Mailing Address - Fax:336-505-5483
Practice Address - Street 1:836 W LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7481
Practice Address - Country:US
Practice Address - Phone:336-505-5484
Practice Address - Fax:336-505-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1147106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty