MISS REENA ANNETTA MANKA (NPI# 1689196180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689196180 |
Entity Type | Individual |
Full Name | MISS REENA ANNETTA MANKA |
Credential | CACII |
Practice Address |
888 Garden of The Gods 150 Colorado Springs CO 80907 |
Mailing Address |
888 Garden of The Gods Rd Ste 150 Colorado Springs CO 80907-9435 |
Practice Telephone | 7192190062 |
Enumeration Date | 2017-07-17 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007577 | CO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES | ACB.0007577 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
619 Wilcox St, Castle Rock, CO 80104 | 3036888142 |
Street Address |
888 GARDEN OF THE GODS 150 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
1912381971 | Lindsay Simpson | Physical Therapist | 602 Elkton Dr # 201, Colorado Springs, CO 80907 | 2015-07-18 |
Find all providers in zip 80907 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740808914 | Pamela Weisman | Counselor | 125 N Parkside Dr Ste 202, Colorado Springs, CO 80909-6097 | 2020-07-13 |
1942837695 | Laurie Robertson | Counselor | 4564 Laramie Sky Dr, Colorado Springs, CO 80922-2231 | 2020-03-24 |
1316598063 | Affinity Therapy Services LLC | Counselor | 2950 Professional Pl Ste 115, Colorado Springs, CO 80904-8106 | 2019-09-24 |
1982269338 | Rachel Nicole Jenkins | Counselor | 1026 Maxwell St, Colorado Springs, CO 80906-5554 | 2019-05-01 |
1043874480 | Lauren Atencio | Counselor | 2270 La Montana Way Ste 200, Colorado Springs, CO 80918-6735 | 2019-04-30 |
1205319787 | Emily Ingram | Counselor | 2226 Golden Gate Grv, Colorado Springs, CO 80918-9400 | 2018-09-11 |
1326521246 | Jennifer Routt | Counselor | 803 N Wahsatch Ave Apt 2, Colorado Springs, CO 80903-2966 | 2018-09-07 |
1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
1003392408 | Brittany Edmondson | Counselor | 1619 Monterey Rd Apt D, Colorado Springs, CO 80910-4435 | 2018-07-18 |
1659867836 | Lisa Hoeffner | Counselor | 6165 Lehman Dr Ste 209, Colorado Springs, CO 80918-5406 | 2018-07-10 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80907 |
Please comment or provide details below to improve the information on MISS REENA ANNETTA MANKA.
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.