MEDICARE: BIANCA MCMANUS-HARRIS

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	251S00000X	Community/Behavioral Health Agency
2	171M00000X	Case Manager/Care Coordinator
3	172V00000X	Community Health Worker
4	101YM0800X	Mental Health Counselor	0906016572	VA

General Provider Information

NPI Number	:	1114618337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA MCMANUS-HARRIS

Provider Business Mailing Address
First Line	:	6800 PARAGON PL STE 200
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-1652
Country	:	US
Telephone Number	:	202-910-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 SOPHIA ST STE 200
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3809
Country	:	US
Telephone Number	:	540-445-1803
Fax Number	:

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

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	01/06/2026

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