Organization
AMIE A. MANIS, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIE A. MANIS PHD, LPC (MANAGER)
(540) 958-0670
Entity
Organization
Contact information
Practice address
120 W NELSON ST, LEXINGTON, VA 24450-2036
(540) 958-0670
(540) 463-2635
Mailing address
255 FORGE RD, LEXINGTON, VA 24450-5854
(540) 958-0670
(540) 463-2635
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0701004657
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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