# MANLEY MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720663347
- **Authorized official:** AMBER MANLEY APRN (MEMBER)
- **Authorized official phone:** (803) 606-4172

## Contact information

- **Practice address:** 1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
- **Practice address phone:** (080) 377-9750
- **Mailing address:** 549 BYARS RD, LAURENS, SC 29360-5124
- **Mailing address phone:** (803) 606-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2021
- **Last updated:** 03/15/2021