Provider Demographics
NPI:1871919498
Name:MANNING, AMANDA (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:MANNING
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 E 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1108
Mailing Address - Country:US
Mailing Address - Phone:202-420-8499
Mailing Address - Fax:
Practice Address - Street 1:3418 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2621
Practice Address - Country:US
Practice Address - Phone:509-795-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health