# BERKELEY COMMUNITY MENTAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1205065828
- **Authorized official:** MRS. STANTRENETTA AKEYA HARROLD APRN (ADVANCED PRACTICE REGISTERED NURSE)
- **Authorized official phone:** (843) 761-8282

## Contact information

- **Practice address:** 403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
- **Practice address phone:** (843) 761-8282
- **Practice address fax:** (843) 761-7308
- **Mailing address:** 7863 LONG SHADOW LN, NORTH CHARLESTON, SC 29406
- **Mailing address phone:** (843) 761-8282
- **Mailing address fax:** (843) 761-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 3810 | SC | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009