Doctor Name: | MR. MICHAEL WARREN MANCHESTER |
NPI Number: | 1386879732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, NCC, LMHC |
License Number: | MH9898 |
Business Practice Address: | 3074 W Lake Mary Blvd 140 Lake Mary, FL - 327466749 |
Business Phone Number: | 4073247979 |
Business Fax Number: | 4073247901 |
Mailing Address: | 1140 S Osceola Ave, ORLANDO |
State: | FL |
Postal Code: | 328061350 |
Phone Number: | 4073247979 |
Fax Number: | 4073247901 |
NPI Enumeration Date: | 05/28/2009 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH9898 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |