MEDICARE: AMY MANION LMFT

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	106H00000X	Marriage & Family Therapist	T3091	OR
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922740596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MANION LMFT

Provider Business Mailing Address
First Line	:	62227 POWELL BUTTE HWY
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-9355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 SW CROWELL WAY STE 100
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-1178
Country	:	US
Telephone Number	:	541-604-8733
Fax Number	:	877-640-1415

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

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	04/29/2026

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Directions to “ AMY MANION LMFT” Practice Location

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