Individual
JOEY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 S INDEPENDENCE BLVD STE 115, VIRGINIA BEACH, VA 23452-1129
(757) 633-8199
Mailing address
485 S INDEPENDENCE BLVD STE 115, VIRGINIA BEACH, VA 23452-1129
(757) 633-8199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/19/2024
Last updated
02/27/2024
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