MEDICARE: DR. VICTORIA MANION FLEMING PHD, LMHC, LCPC, NCC

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	101YM0800X	Mental Health Counselor	5288-125	WI
2	101YM0800X	Mental Health Counselor	180005618	IL
3	101YM0800X	Mental Health Counselor	01502	RI
4	101YM0800X	Mental Health Counselor	46-003898	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001502	OTHER	RI	LICENSE
2	003898	OTHER	CT	LICENSE
3	180-005618	OTHER	IL	LICENSE
4	5288-125	OTHER	WI	LICENSE

General Provider Information

NPI Number	:	1225115074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA MANION FLEMING PHD, LMHC, LCPC, NCC

Provider Business Mailing Address
First Line	:	PO BOX 3080
Second Line	:
City	:	NEWPORT
State	:	RI
Zip	:	02840-0319
Country	:	US
Telephone Number	:	860-999-1257
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 BROADWAY
Second Line	:
City	:	NEWPORT
State	:	RI
Zip	:	02840-1735
Country	:	US
Telephone Number	:	860-999-1257
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/12/2023

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