NPIMap

Organization Active NPI

Manna Scholarship Fund

  • Counselor
  • Lawrenceville, GA
National Provider Identifier
1962952184
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC008922 Issued in GA
Legal business name
MANNA SCHOLARSHIP FUND
Practice address
965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044-3758
Phone
(770) 495-9775
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Elizabeth Burnett, PSYDNPI 1548469695
Title
Executive Director
Phone
(770) 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC008922 GA Primary
Community/Behavioral Health Agency 251S00000X LPC008922 GA

Addresses

Primary practice location

965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044-3758

Mailing address

965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044-3758
Phone (770) 495-9775

National Provider Directory

National Provider Directory
Tax ID family
Manna Scholarship Fund2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

965 Oakland Rd
Ste 3E
Lawrenceville, GA 30044
Phone (470) 818-8607

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1962952184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 OAKLAND RD",
            "address_2": "STE 3E",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443758",
            "telephone_number": "770-495-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 OAKLAND RD",
            "address_2": "STE 3E",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443758",
            "telephone_number": "770-495-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA SCHOLARSHIP FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-495-9775",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC008922",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.