Organization
LENA M. MCMANUS, EDS LPC NCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PALENENA M MCMANUS LPC (LICENSED THERAPIST)
(678) 557-2676
Entity
Organization
Contact information
Practice address
41 MUSCADINE CT, DOUGLASVILLE, GA 30134-5412
(678) 557-2676
Mailing address
41 MUSCADINE CT, DOUGLASVILLE, GA 30134-5412
(678) 557-2676
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LPC006907
GA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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