# SEMINOLE COMMUNITY MENTAL HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164581633
- **Authorized official:** MR. JAMES P BERKO MSW, ACSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 831-2411

## Contact information

- **Practice address:** 237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
- **Practice address phone:** (407) 831-2411
- **Practice address fax:** (407) 831-0195
- **Mailing address:** 237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
- **Mailing address phone:** (407) 831-2411
- **Mailing address fax:** (407) 831-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 04/05/2011