MEDICARE: MRS. LINDSEY MANNING M.A.

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	IMH7611	FL
2	101YM0800X	Mental Health Counselor		MA
3	101YM0800X	Mental Health Counselor	MH11260	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1801120373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSEY MANNING M.A.

Provider Business Mailing Address
First Line	:	2033 N NORMANDY BLVD
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-3287
Country	:	US
Telephone Number	:	407-902-9058
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 N WOODLAND BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-2709
Country	:	US
Telephone Number	:	386-310-4073
Fax Number	:

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

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	01/04/2017

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