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NPI Code Detail

MEDICARE: LEAH MCMANIS LPC

MEDICARE: LEAH MCMANIS LPC
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
1101YP2500XProfessional Counselor2004032809MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609917046
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH MCMANIS LPC
Provider Business Mailing Address
First Line : 508 HARRIS ST
Second Line :
City : FRONTENAC
State : KS
Zip : 66763-2287
Country : US
Telephone Number : 620-704-5316
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W ASHLAND ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1710
Country : US
Telephone Number : 417-667-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 12/12/2022

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