# MANNA BEHAVIORAL HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manna Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912897646
- **Authorized official:** MS. CARMEN A. IVES APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (407) 305-7654

## Contact information

- **Practice address:** 1100 N FERN CREEK AVE STE F, ORLANDO, FL 32803-2628
- **Practice address phone:** (407) 305-7654
- **Mailing address:** 1100 N FERN CREEK AVE STE F, ORLANDO, FL 32803-2628
- **Mailing address phone:** (407) 305-7654

## 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:** 07/04/2025
- **Last updated:** 07/04/2025