NPIMap

Organization Active NPI

Manna Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
National Provider Identifier
1316007180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MANNA TREATMENT CENTER, LLC
Practice address
2250 Satellite Blvd
Suite # 115
Duluth, GA 30097-4906
Phone
(678) 495-9775
Fax
(678) 495-9745
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Gene Burnett, PSYDNPI 1548469695
Title
Clinical Director, Partner
Phone
(678) 495-9775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2250 Satellite Blvd
Suite # 115
Duluth, GA 30097-4906

Mailing address

2250 Satellite Blvd
Suite # 115
Duluth, GA 30097-4906
Phone (678) 495-9775

National Provider Directory

National Provider Directory

Locations

2250 Satellite Blvd
Ste 110
Duluth, GA 30097
Phone (770) 495-9775

2250 Satellite Blvd
Ste 115
Duluth, GA 30097
Phone (678) 495-9775

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316007180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD",
            "address_2": "SUITE # 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974906",
            "telephone_number": "678-495-9775",
            "fax_number": "678-495-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD",
            "address_2": "SUITE # 115",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974906",
            "telephone_number": "678-495-9775",
            "fax_number": "678-495-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, PARTNER",
        "authorized_official_telephone_number": "678-495-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.