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Organization
AMIE A. MANIS, PHD, PLLC
Active
Organization
AMIE A. MANIS, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIE A. MANIS PHD, LPC (MANAGER)
(540) 958-0670
Entity
Organization
Contact information
Practice address
120 W NELSON ST, LEXINGTON, VA 24450-2036
(540) 958-0670
(540) 463-2635
Mailing address
255 FORGE RD, LEXINGTON, VA 24450-5854
(540) 958-0670
(540) 463-2635
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0701004657
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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