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Organization

SUSAN D. BERRY, MA, LMHC, P.A.

Active
Other names
Central Core Institute
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN D. BERRY LMHC (PRESIDENT, DIRECTOR)
(321) 863-0599
Entity
Organization

Contact information

Practice address
30 N GROVE ST, SUITE C, MERRITT ISLAND, FL 32953-3530
(321) 863-0599
Mailing address
30 N GROVE ST, SUITE C, MERRITT ISLAND, FL 32953-3530
(321) 863-0599

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH7592
FL

Other

Enumeration date
04/23/2007
Last updated
08/22/2020
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