Manito Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC002053 Issued in PA

Legal business name

MANITO INC.

Doing business as

Laurel Life

Practice address

310 Lortz Ave
Chambersburg, PA 17201-3416

Phone

(717) 263-7160

Fax

(717) 263-6049

NPI assigned

Dec 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Toby Fritz

Title

Chief Operations Officer

Phone

(717) 375-4834

Specialties & licenses 1

Addresses

Other names 1

• Laurel Life Doing business as

Locations

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1538590302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7564 BROWNS MILL RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172029252",
            "telephone_number": "717-375-4834",
            "fax_number": "717-375-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LORTZ AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013416",
            "telephone_number": "717-263-7160",
            "fax_number": "717-263-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "717-375-4834",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marjorie R Gold, DO PC

• Professional Counselor in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.