MEDICARE: CHRISTINA MARIE MANNING

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
1	106H00000X	Marriage & Family Therapist	MF001403	PA
2	106H00000X	Marriage & Family Therapist	MFT001681	GA
3	106H00000X	Marriage & Family Therapist	204257	TX

General Provider Information

NPI Number	:	1134607054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE MANNING

Provider Business Mailing Address
First Line	:	5102 OXEN CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4951
Country	:	US
Telephone Number	:	229-379-1857
Fax Number	:

Provider Business Practice Location Address
First Line	:	5102 OXEN CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4951
Country	:	US
Telephone Number	:	229-379-1857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	06/13/2026

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Directions to “ CHRISTINA MARIE MANNING ” Practice Location

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