MARYANNA ELIZABETH MANDERVILLE


Address: 2637 Eastern Blvd, Montgomery, AL 36117
Phone: 3344099090

MARYANNA ELIZABETH MANDERVILLE (NPI# 1285916593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285916593
Entity Type Individual
Full Name MARYANNA ELIZABETH MANDERVILLE
Credential LPC
Practice Address 2637 Eastern Blvd
Montgomery
AL 36117
Mailing Address 2868 Acton Road
Birmingham
AL 35243
Practice Telephone 3344099090
Practice Fax Number 3344099669
Mailing Telephone 2059688360
Mailing Fax Number 2059688361
Enumeration Date 2011-09-13
Last Update Date 2011-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2878 AL Behavioral Health & Social Service Providers

Office Location

Street Address 2637 EASTERN BLVD
City MONTGOMERY
State AL
Zip Code 36117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013139369 Michael Lee Thornton Counselor 2637 Eastern Blvd, Montgomery, AL 36117-1509 2007-05-03
1598165326 Christy Davis Registered Nurse 2637 Eastern Blvd, Montgomery, AL 36117-1509 2014-08-28
1023428091 Sandy Revens Registered Nurse 2637 Eastern Blvd, Montgomery, AL 36117-1509 2014-04-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568061307 Bhg Lxxiii, LLC Clinic/Center 1714 Platt Place, Montgomery, AL 36117 2020-10-22
1952945602 East Montgomery Pediatrics LLC Pediatrics 337 St Lukes Drive, Montgomery, AL 36117 2019-11-05
1417421496 Tiffany Webb Specialist 411 Twain Curve, E, Montgomey, AL 36117 2019-01-14
1013485374 Montgomery Orthodontic Specialists Dentist 5833 Carmichael Road, Montgomery, AL 36117 2018-11-05
1770050791 Blair Henderson Parks Speech-Language Pathologist 7088 University Court, Montgomery, AL 36117 2018-10-29
1629557822 Evelyn F Crayton Dietitian, Registered 124 Elm Dr, Montgomery, AL 36117 2018-08-08
1194203414 Coopers Mental Healh Consultations Psychologist 8743 Ridgestone Ct, Montgomery, AL 36117 2018-07-30
1063912301 Gardenia Cove Mental Health PC Psychiatry & Neurology 6771 Taylor Circle, Montgomery, AL 36117 2018-02-13
1760900294 Montgomery Auburn Homecare LLC In Home Supportive Care 2569 Bell Rd, Montgomery, AL 36117 2017-09-05
1336667120 Alyssa Bryanna Swisher Chiropractor 2026 Berryhill Road, Montgomery, AL 36117 2017-09-01
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162376 Kasey Leigh Byrd Counselor 106 Pine Crest Cir, Montgomery, TX 77316-1471 2020-10-22
1902423858 Glenn Paul Winkler Counselor 500 Interstate Park Dr Ste 522, Montgomery, AL 36109-5489 2020-06-26
1457973950 Kristin Nicole Byrd Counselor 935 S Perry St, Montgomery, AL 36104-5021 2020-05-07
1811527344 Juanita Dalvery Barnett Counselor 6000 Monticello Dr, Montgomery, AL 36117-1907 2020-01-23
1982242756 Kendra Rhodes Counselor 1337 Richton Rd, Montgomery, AL 36117-8932 2019-12-12
1710545595 Vaughn Motley Bryant IIi Counselor 14740 Liberty Street, Montgomery, TX 77356 2019-06-05
1316502248 Keila Cares, LLC Counselor 4758 Woodmere Blvd Ste H, Montgomery, AL 36106-3076 2019-05-06
1871157420 Belinda Kay Warren Delapena Counselor 3507 Whittier, Montgomery, TX 77356 2019-04-30
1861953739 Laquanda Wiggins Counselor 8448 Crossland Loop Ste 163, Montgomery, AL 36117-0951 2019-03-25
1942769443 Cheryl L Whetstone Counselor 3214 Babette Cir, Montgomery, AL 36116-3913 2019-03-14
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Competitor

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City MONTGOMERY
Zip Code 36117

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Dataset Information

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.

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