Provider Demographics
NPI:1134112758
Name:MANNING, CATHERINE DEMARTIN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:DEMARTIN
Last Name:MANNING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3719
Mailing Address - Country:US
Mailing Address - Phone:252-975-2027
Mailing Address - Fax:252-975-3483
Practice Address - Street 1:408 E 11TH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3719
Practice Address - Country:US
Practice Address - Phone:252-975-2027
Practice Address - Fax:252-975-3483
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3893101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
257897OtherMHN
572727OtherTRICARE
NC6102016Medicaid
572727OtherMAGELLAN
130NAOtherBCBS
20867720OtherCIGNA
7112370OtherAETNA