Individual
BONITA MANNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 GALLANT FOX LN, BOWIE, MD 20715-4003
(571) 343-4366
Mailing address
1724 FIELDSTONE CT, HANOVER, MD 21076-2169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC6121
MD
101YP2500X
Professional Counselor
Primary
LC12512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC12512
BCBS; AETNA
MD
01
—
LGPC6121
BCBS; AETNA
MD
Enumeration date
07/18/2019
Last updated
05/10/2025
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