MEDICARE: MRS. MANUELLA VIANA ROGERS LPCC

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	101YP2500X	Professional Counselor	0024385	CO

General Provider Information

NPI Number	:	1740130657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MANUELLA VIANA ROGERS LPCC

Provider Business Mailing Address
First Line	:	2416 ALTA VISTA DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-4619
Country	:	US
Telephone Number	:	940-902-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 ALTA VISTA DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-4619
Country	:	US
Telephone Number	:	940-902-5588
Fax Number	:

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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