NPI 1205065828

Berkeley Community Mental Health Center

Organisation Exclusive Provider Organization Moncks Corner, SC

Practice location

Address: 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308
Mailing address: 7863 Long Shadow Ln, North Charleston, SC 29406

Authorised official

Name: Stantrenetta Akeya Harrold
Title: Advanced Practice Registered Nurse
Phone: (843) 761-8282

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3810 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1205065828
Entity type: Organization
NPI issued: 2 Jul 2009
Record last updated: 2 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.