JEAN MANZ COACHING, LLC (NPI# 1164940599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164940599 |
| Entity Type | Organization |
| Organization Name | JEAN MANZ COACHING, LLC |
| Practice Address |
3510 Messina Dr Farmington NM 87402-4782 |
| Mailing Address |
4773 Sunrise Cir Farmington NM 87401-9299 |
| Practice Telephone | 5057167995 |
| Mailing Telephone | 5057167995 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | JEAN MADELEINE MANZ (OWNER) |
| Authorized Official Telephone | 5057167995 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0101581 | NM | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3510 Messina Dr, Farmington, NM 874024782 | 5057167995 |
| Street Address |
3510 MESSINA DR |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-4782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699985259 | Charles Benson Stacey | Marriage & Family Therapist | 3510 Messina Dr, Farmington, NM 87402-4782 | 2007-05-23 |
| 1649503293 | Jean Madeleine Manz | Marriage & Family Therapist | 3510 Messina Dr, Farmington, NM 87402-4782 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| 1063982866 | Charis Counseling Pllc | Clinic/Center | 128 Southwinds Rd Ste 5&6, Farmington, AR 72730-8678 | 2018-12-05 |
| 1114434412 | Mackay Counseling | Clinic/Center | 582 Rigby Rd, Farmington, UT 84025-4404 | 2018-01-08 |
| 1124153366 | Lds Family Services | Clinic/Center | 925 Cannery Ct Ste A, Farmington, NM 87401-4058 | 2007-02-21 |
| 1821635129 | Mindful Transformations LLC | Clinic/Center | 304 Main St, Farmington, CT 06032-2985 | 2019-12-05 |
| 1427610187 | Guiding Solutions Therapy, LLC | Clinic/Center | 128 Southwinds Rd Ste 5, Farmington, AR 72730-8678 | 2019-07-02 |
| 1588103881 | Dr. Faith Prelli, LLC | Clinic/Center | 304 Main St, Suite 204, Farmington, CT 06032-2985 | 2017-02-20 |
| 1881043487 | South Davis Psychological Services | Clinic/Center | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2016-06-06 |
| 1588028641 | Therapy and Wellness for Women LLC | Clinic/Center | 769 Farmington Ave, Box 11, Farmington, CT 06032-2364 | 2016-04-05 |
| 1932277456 | Presbyterian Medical Services | Clinic/Center | 1615 Ojo Court, Farmington, NM 87401 | 2006-12-01 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
Please comment or provide details below to improve the information on JEAN MANZ COACHING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.