Elizabeth Manzano-Boulton, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2901 W Saint Isabel St Ste A1
Tampa, FL 33607-6350

Phone

(888) 666-3089

Fax

(888) 666-9870

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1104390947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W SAINT ISABEL ST STE A1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076350",
            "telephone_number": "888-666-3089",
            "fax_number": "888-666-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SAINT ISABEL ST STE A1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076350",
            "telephone_number": "888-666-3089",
            "fax_number": "888-666-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO-BOULTON",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Theodora Mantis, BCBA
• Mantra Counseling, LLC
• Melissa Elizabeth Manuelli, MS, LCGC
• Nancy Kathleen Manz, R.N.
• Natalia Aixa Manzano Garcia, PHARMD
• Melanie Manzano
• Nicole Marie Manzardo, AU.D.
• Lauren Manzella Maulucci, MS ED CCC-SLP
• Alessandra Manzella
• Dana Manzi, ARNP

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.