Healthcare Provider Details

I. General information

NPI: 1184547713
Provider Name (Legal Business Name): MANII MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 S BEVERLY GLEN BLVD APT 310
LOS ANGELES CA
90064-2476
US

IV. Provider business mailing address

2201 S BEVERLY GLEN BLVD APT 310
LOS ANGELES CA
90064-2476
US

V. Phone/Fax

Practice location:
  • Phone: 973-652-2368
  • Fax:
Mailing address:
  • Phone: 973-652-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: NIA BARETT
Title or Position: CEO/MANAGING PRINCIPAL
Credential: LPCC
Phone: 973-652-2368