Individual
ELISHA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(804) 664-0782
Mailing address
1201 SYCAMORE SQUARE DR, P.O BOX 131, MIDLOTHIAN, VA 23113-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904017909
VA
101YM0800X
Mental Health Counselor
Primary
259355
KY
101YM0800X
Mental Health Counselor
TH00947164
WV
1041C0700X
Clinical Social Worker
0904017909
VA
Other
Enumeration date
12/13/2021
Last updated
03/22/2026
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