MEDICARE: JAMES VICTOR MANGAN 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
1	101YP2500X	Professional Counselor	6451023078	MI

General Provider Information

NPI Number	:	1770268120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES VICTOR MANGAN LPC

Provider Business Mailing Address
First Line	:	8149 GREEN VALLEY DR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8171
Country	:	US
Telephone Number	:	616-987-0883
Fax Number	:

Provider Business Practice Location Address
First Line	:	8149 GREEN VALLEY DR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8171
Country	:	US
Telephone Number	:	616-987-0883
Fax Number	:

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

Provider Enumeration Date	:	06/21/2023
Last Update Date	:	06/15/2026

Similar Medicare Providers

1235769175 — MEGAN MOSS
Practice Location Address:

8179 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-301-8000
Practice Fax:

1386337640 — MARNEE WEISBROD MS, LLPC
Practice Location Address:

8149 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-987-0883
Practice Fax:

1083463590 — CRUX LEADERSHIP COACHING, LLC
Practice Location Address:

8149 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-987-0883
Practice Fax:

1710737606 — UFOMA OMOHEFE UDEZI
Practice Location Address:

2955 ALOUETTE DR APT 712
GRAND PRAIRIE, TX
75052-8171

Practice Phone: 404-916-2625
Practice Fax:

1356203798 — TAMMY KAY LUTT
Practice Location Address:

704 MEMORIAL DR
GRAND ISLAND, NE
68801-8171

Practice Phone: 308-850-6983
Practice Fax:

1063379014 — ANGELA LANDRY
Practice Location Address:

3139 E BALDWIN RD
GRAND BLANC, MI
48439-7374

Practice Phone: 810-445-5300
Practice Fax:

Directions to “ JAMES VICTOR MANGAN LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.