Healthcare Provider Details

I. General information

NPI: 1386501021
Provider Name (Legal Business Name): EMMA G MCMANAMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 SHIRLEY BRIDGE AVE
YANKTON SD
57078-5949
US

IV. Provider business mailing address

3111 SHIRLEY BRIDGE AVE
YANKTON SD
57078-5949
US

V. Phone/Fax

Practice location:
  • Phone: 605-665-4606
  • Fax:
Mailing address:
  • Phone: 605-665-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: