MEDICARE: MALENA ROSE MANGERS

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	14277	NE

General Provider Information

NPI Number	:	1336950666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALENA ROSE MANGERS

Provider Business Mailing Address
First Line	:	303 W 4TH ST
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-7544
Country	:	US
Telephone Number	:	402-705-8101
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 W 4TH ST
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-7544
Country	:	US
Telephone Number	:	402-705-8101
Fax Number	:

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

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	03/23/2026

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Directions to “ MALENA ROSE MANGERS ” Practice Location

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