| Doctor Name: | LORETTA NANCY MANNING |
| NPI Number: | 1912051871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 3697 |
| Business Practice Address: | 120 East Trinity Place Decatur, GA - 30030 |
| Business Phone Number: | 4043782300 |
| Business Fax Number: | 4043782394 |
| Mailing Address: | 2030 Christian Circle, CONYERS |
| State: | GA |
| Postal Code: | 30013 |
| Phone Number: | 6789137200 |
| Fax Number: | 4043782394 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 3697 |
| 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 |