Manna Behavioral Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MANNA BEHAVIORAL SERVICES

Doing business as

Executive Director

Practice address

2821 N Vel R Phillips Ave Ste 2132821
Milwaukee, WI 53212-2362

Phone

(414) 334-7022

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Clem L Richardson, MS,CSAC,MACNPI 1760516215

Title

Owner

Phone

(414) 240-1385

Specialties & licenses 1

Addresses

Other names 1

• Executive Director Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Clem Richardson, BS

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
  • NPI 1760516215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1578442042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N VEL R PHILLIPS AVE STE 213",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122370",
            "telephone_number": "414-334-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VEL R PHILLIPS AVE STE 2132821",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122362",
            "telephone_number": "414-334-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CLEM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-240-1385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,CSAC,MAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Director",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Mann, OT
• Joshna Mann, RN
• Mary Kathleen Mann, LPC-IT
• Patricia Ranaye Mann, ATR, LPC, SAC-IT
• Tina M Mann, LPN
• Rajeev Reddy Mannem, M.D.
• Anthony L Mannila, APNP FNP-C
• Bradley L. Manning III, M.D.
• Elonzo Manning Jr., COORDINATOR
• Erika Manning, MD, PHD

• Substance Use Disorder Rehabilitation Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.