Mane Source Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MANE SOURCE COUNSELING LLC

Practice address

1035C Director CT
Greenville, NC 27858-5996

Phone

(508) 971-2668

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Cheryl M MeolaNPI 1689982910

Title

Supervisor

Phone

(508) 971-2668

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cheryl Meola

  • Mental Health Counselor
  • New Bedford, MA
  • NPI 1689982910
  NPD Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1649739434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035C DIRECTOR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035C DIRECTOR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585996",
            "telephone_number": "508-971-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE SOURCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "MEOLA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "508-971-2668"
    },
    "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": []
}

• Kayla Mallory, SLP
• Suganthi S. Manaharan, SLP, M.S.
• Andre Nikolay Mancheno Rubio, MD
• Chetan Mandelia, MD
• Yamini Mandelia, MD
• Kirk Alan Maness, RPH
• Sharon A Mangan, MD
• Sarah Rose Mangum Needham, M.D.
• Christopher Mangus
• Swethaa Manickam, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.