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General NPI Number Information
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NPI Number | 1841269933
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Entity Type | Individual
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Provider Name | LAURIE M MANNS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 7760 SHRADER RD STE B
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City | HENRICO
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State | VA
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Zip | 23228-2552
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Country | US
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Telephone | 804-591-0001
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Fax | 804-501-0101
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Provider Business Mailing Address
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Address Line | 8330 CALYPSO LN
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City | CHESTERFIELD
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State | VA
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Zip | 23838-6258
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Country | US
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Telephone | 540-520-1123
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Fax | 804-796-0799
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0710102061
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701003543
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License Number State | VA
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