Provider Demographics
NPI:1780272468
Name:MANCHESTER, PHOEBE (MS, LCMHC)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:
Last Name:MANCHESTER
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SOUTH ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2163
Mailing Address - Country:US
Mailing Address - Phone:603-276-0721
Mailing Address - Fax:844-205-7844
Practice Address - Street 1:12 SOUTH ST STE 2D
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2163
Practice Address - Country:US
Practice Address - Phone:603-276-0721
Practice Address - Fax:844-205-7844
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health