| Doctor Name: | SUNEETHA BABU MANYAM |
| NPI Number: | 1497043384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D, LPC |
| License Number: | LPC006149 |
| Business Practice Address: | 3582 Old Milton Pkwy Alpharetta, GA - 300054465 |
| Business Phone Number: | 7702253000 |
| Business Fax Number: | 7702253001 |
| Mailing Address: | 3582 Old Milton Pkwy, ALPHARETTA |
| State: | GA |
| Postal Code: | 300054465 |
| Phone Number: | 7702253000 |
| Fax Number: | 7702253001 |
| NPI Enumeration Date: | 07/13/2011 |
| NPI Last Update Date: | 07/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LPC006149 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |