Active NPI
Manna House Ministries
- Substance Abuse Rehabilitation Facility
- Jamestown, TN
National Provider Identifier
1336964139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MANNA HOUSE MINISTRIES
- Practice address
- 326 White Oak St
Jamestown, TN 38556-4206 - Phone
- (931) 752-7075
- NPI assigned
- Nov 18, 2024
- Last updated
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Webb, MA, LPCA-MHSP, CADC
- Title
- Executive Director
- Phone
- (931) 752-7075
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
326 White Oak St
Jamestown, TN 38556-4206
Mailing address
PO Box 962
Jamestown, TN 38556-0962
Phone (931) 752-7075
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Jamestown, TN
- NPI 1528796109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1336964139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 962",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385560962",
"telephone_number": "931-752-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WHITE OAK ST",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385564206",
"telephone_number": "931-752-7075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANNA HOUSE MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "931-752-7075",
"authorized_official_credential": "MA, LPCA-MHSP, CADC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.