Provider Demographics
NPI:1225115074
Name:FLEMING, VICTORIA MANION (PHD, LMHC, LCPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:MANION
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PHD, LMHC, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3080
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-0319
Mailing Address - Country:US
Mailing Address - Phone:860-999-1257
Mailing Address - Fax:
Practice Address - Street 1:360 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-1735
Practice Address - Country:US
Practice Address - Phone:860-999-1257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5288-125101YM0800X
IL180005618101YM0800X
RI01502101YM0800X
CT46-003898101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI001502OtherLICENSE
CT003898OtherLICENSE
IL180-005618OtherLICENSE
WI5288-125OtherLICENSE