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NPI Code Detail

MEDICARE: KEVIN ANTONIO BERIO LMHC

MEDICARE:   KEVIN ANTONIO BERIO  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1932721842
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN ANTONIO BERIO LMHC
Provider Business Mailing Address
First Line : 844 WESTSHORE CT
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-3325
Country : US
Telephone Number : 407-797-3410
Fax Number :
Provider Business Practice Location Address
First Line : 1211 STATE ROAD 436 STE 171
Second Line :
City : CASSELBERRY
State : FL
Zip : 32707-6442
Country : US
Telephone Number : 321-926-1416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2020
Last Update Date : 10/14/2022

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Directions to “ KEVIN ANTONIO BERIO LMHC” Practice Location

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