| Ms Amanda R Manley, LMFT | |
|
4570 County Road 61, Moose Lake, MN 55767-9401 | |
| (218) 485-4491 | |
| (218) 485-4724 |
| Full Name | Ms Amanda R Manley |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 4570 County Road 61, Moose Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508693961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4390 (Minnesota) | Primary |
| Entity Name | Gateway Family Health Clinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda R Manley, LMFT 4570 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 | Ms Amanda R Manley, LMFT 4570 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 |
Melissa Jean Anderson, MA Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 316 Elm Ave, Moose Lake, MN 55767 Phone: 218-485-4445 Fax: 218-485-0477 | |
Kristina Bailey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Arrowhead Lane, Po Box 243, Moose Lake, MN 55767 Phone: 218-485-4445 | |
Bruce A. Beaman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6055 |