Provider Demographics
NPI:1235576026
Name:V. MANGER COUNSELING SERVICES
Entity Type:Organization
Organization Name:V. MANGER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDICTIONS PSYCHOTHERAPIST/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERNIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MANGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CAADC, MISA II
Authorized Official - Phone:708-207-1126
Mailing Address - Street 1:11309 DISTINCTIVE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9490
Mailing Address - Country:US
Mailing Address - Phone:708-207-1126
Mailing Address - Fax:708-349-1126
Practice Address - Street 1:11309 DISTINCTIVE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9490
Practice Address - Country:US
Practice Address - Phone:708-207-1126
Practice Address - Fax:708-349-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty