Victoria Christine Manik, LMFT
Individual provider Active NPI Marriage & Family Therapist · Bozeman, MT
NPI 1992329809 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1992329809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 48402 (MT)
- Practice address
- 1648 Ellis St Ste 302
Bozeman, MT 59715-8811 - Phone
- (406) 586-3301
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48402 | MT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 48402 | MT | Yes |
Addresses
Primary practice location
1648 Ellis St Ste 302
Bozeman, MT 59715-8811
Mailing address
198 Snowy Owl TRL
Bozeman, MT 59718-9209
Phone (845) 857-4286
Other practice location 1
198 Snowy Owl Trl
Bozeman, MT 59718-9209
Phone (406) 209-8827
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.bigskypsychology.com/ |
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- Orville H Mann III
- Teresa P Mann
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- Brianne Racine Manninen
All providers in Bozeman, MT · Marriage & Family Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.