MEDICARE: MICHELLE M MANNING LPCC

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	101YM0800X	Mental Health Counselor	LPC.0023533	CO

General Provider Information

NPI Number	:	1306692512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE M MANNING LPCC

Provider Business Mailing Address
First Line	:	7397 WINDWOOD WAY
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-6379
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19590 E MAINSTREET
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80138-7302
Country	:	US
Telephone Number	:	720-984-1193
Fax Number	:

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

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/08/2026

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