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NPI Code Detail

MEDICARE: EMILY MANGAN, LPC, LLC

MEDICARE: EMILY MANGAN, LPC, LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1578428702
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMILY MANGAN, LPC, LLC
Provider Business Mailing Address
First Line : 5821 STAPLES MILL RD
Second Line :
City : HENRICO
State : VA
Zip : 23228-5427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5821 STAPLES MILL RD
Second Line :
City : HENRICO
State : VA
Zip : 23228-5427
Country : US
Telephone Number : 804-264-0966
Fax Number :
Authorized Official
Title or Position : LPC
Name : EMILY MANGAN
Credential : LPC
Telephone Number : 804-264-0966
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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