MANNA SCHOLARSHIP FUND INC (NPI# 1083089239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083089239 |
| Entity Type | Organization |
| Organization Name | MANNA SCHOLARSHIP FUND INC |
| Other Organization Name | MANNA TREATMENT |
| Practice Address |
3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 |
| Practice Telephone | 7704959775 |
| Practice Fax Number | 7704959745 |
| Mailing Telephone | 7704959775 |
| Mailing Fax Number | 7704959745 |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | ELIZABETH GENE BURNETT (DIRECTOR) |
| Authorized Official Telephone | 7704959775 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Manna Treatment | Doing Business As Name - Organization |
| Street Address |
3305 BRECKINRIDGE BLVD STE 116 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469695 | Elizabeth Gene Burnett | Psychologist | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2007-07-17 |
| 1699383331 | Sierra Marcus | Counselor | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2020-07-20 |
| 1366908246 | Kelsey Sander | Social Worker | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823104 | Laurel June Benoit | Psychologist | 324 W Superior St Ste 300, Duluth, MN 55802-1700 | 2017-10-30 |
| 1124539598 | Jonathan M Beyer | Psychologist | 324 W Superior St Ste 505, Duluth, MN 55802-1725 | 2017-10-12 |
| 1891957890 | Matthew Webb | Psychologist | 530 East Second Street, Duluth, MN 55805-1913 | 2008-06-30 |
| 1548469695 | Elizabeth Gene Burnett | Psychologist | 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096-4932 | 2007-07-17 |
| 1265562755 | Sara Rebecca Dhuse | Psychologist | 4815 Burning Tree Rd Ste 200, Duluth, MN 55811-3833 | 2007-03-06 |
| 1518093640 | Katherine Marie Noonan | Psychologist | 3121 Amesbury Way, Duluth, GA 30096-5861 | 2007-02-25 |
| 1093881187 | Donald E Streufert | Psychologist | 205 West 2nd St, Suite 437 Duluth Psychological Clinic, Duluth, MN 55802 | 2006-11-28 |
| 1306912498 | Richard Ernest Duus | Psychologist | 205 West 2nd Street, Suite 437 Duluth Psychological Clinic, Duluth, MN 55802 | 2006-11-28 |
| 1912995838 | Jane Hovland | Psychologist | 1035 University Dr, 236 Center for Rural Mental Health Studies Med School, Duluth, MN 55812-3031 | 2005-10-13 |
| 1639789019 | Illume North, LLC | Psychologist | 324 W Superior St, 630 Medical Arts, Duluth, MN 55802-1701 | 2020-07-31 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.