MR. MICHAEL WARREN MANCHESTER (NPI# 1386879732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386879732 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WARREN MANCHESTER |
| Credential | MA, NCC, LMHC |
| Practice Address |
3074 W Lake Mary Blvd 140 Lake Mary FL 32746-6749 |
| Mailing Address |
1140 S Osceola Ave Orlando FL 32806-1350 |
| Practice Telephone | 4073247979 |
| Practice Fax Number | 4073247901 |
| Mailing Telephone | 4073247979 |
| Mailing Fax Number | 4073247901 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH9898 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9898 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH9898 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104463454 | Michael Manchester | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 21114 | 2019-12-05 |
| 1053325183 | Michael L Manchester | Dentist | 100 Elmwood Park Dr, West Carrollton, OH 45449-5402 | 2006-07-27 |
| Street Address |
3074 W LAKE MARY BLVD 140 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-6749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090829 | Trudy Shuck | Counselor | 3074 W Lake Mary Blvd, Suite 132, Lake Mary, FL 32746 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332288 | Karen H Cloninger | Counselor | 122 N 4th St Ste 2006, Lake Mary, FL 32746-2944 | 2020-09-23 |
| 1649746165 | Joan Lucille Barton | Counselor | 1325 Oak Springs Pl, Lake Mary, FL 32746-3274 | 2018-10-23 |
| 1538646450 | Be Well Within, LLC | Counselor | 101 Timberlachen Cir Ste 101, Lake Mary, FL 32746-6124 | 2018-07-24 |
| 1033610522 | Brandy King Schafer | Counselor | 122 N 4th St Ste 2022, Lake Mary, FL 32746-2944 | 2018-02-21 |
| 1366972226 | Anacarolina Vaughn | Counselor | 200 Waymont Ct Ste 126-10, Lake Mary, FL 32746-3413 | 2017-06-14 |
| 1891235966 | Rebecca Lynn Stone | Counselor | 3074 W Lake Mary Blvd Ste 140, Lake Mary, FL 32746-6749 | 2017-03-08 |
| 1639537996 | Barbara Noel Olszanski | Counselor | 200 Waymont Court, Suite 126, Lake Mary, FL 32746 | 2016-02-02 |
| 1164890588 | Keith Hutchinson X | Counselor | 503 Brightview Dr, Lake Mary, FL 32746-2311 | 2015-09-02 |
| 1962878694 | Ashley Pettaway | Counselor | 1050 Regal Pointe Ter, Apt 206, Lake Mary, FL 32746-2028 | 2015-08-17 |
| 1437532876 | Annette Rios | Counselor | 858 Silverado Ct, Lake Mary, FL 32746-4966 | 2015-07-02 |
| Find all providers in LAKE MARY | ||||
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| 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.