Healthcare Provider Details

I. General information

NPI: 1033433388
Provider Name (Legal Business Name): CYNTHIA POWER MANNING LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 LOS LENTES RD SE
LOS LUNAS NM
87031-6018
US

IV. Provider business mailing address

4 YERBA RD
LOS LUNAS NM
87031-7520
US

V. Phone/Fax

Practice location:
  • Phone: 505-421-3814
  • Fax:
Mailing address:
  • Phone: 505-710-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0156821
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0156821
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: