Mr Derrick C Manora, LPC | |
7085 Sydney Curv, Montgomery, AL 36117-3509 | |
(334) 270-5502 | |
Not Available |
Full Name | Mr Derrick C Manora |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 7085 Sydney Curv, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205334356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2263 (Alabama) | Primary |
Entity Name | Gardenia Cove Mental Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063912301 PECOS PAC ID: 0648534537 Enrollment ID: O20180430002176 |
Mailing Address | Practice Location Address |
---|---|
Mr Derrick C Manora, LPC 7012 Caddie Cv, Montgomery, AL 36116-6029 Ph: (334) 467-4071 | Mr Derrick C Manora, LPC 7085 Sydney Curv, Montgomery, AL 36117-3509 Ph: (334) 270-5502 |
Annie Adams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Planters Rd, Montgomery, AL 36109 Phone: 334-356-2154 Fax: 334-356-2154 | |
Consuelo Click, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Cotton Gin Rd, Montgomery, AL 36117 Phone: 334-271-2402 | |
Alisa S Jones, MA, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 645 Ponce De Leon Ave, Montgomery, AL 36106 Phone: 334-799-9855 | |
Kendrick Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3151 Knightsbridge Curv, Montgomery, AL 36111 Phone: 864-986-9685 | |
Michael Lee Thornton, MS, EDS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2637 Eastern Blvd, Montgomery, AL 36117 Phone: 334-262-8580 | |
Mrs. Gail Ellerbrake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Narrow Lane Rd, Montgomery, AL 36116 Phone: 334-288-8890 Fax: 334-288-9322 | |
Mrs. Laurie Lynne Shoemaker, M.S., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Old Federal Rd, Montgomery, AL 36117 Phone: 334-270-0177 Fax: 334-273-0177 |