Provider Demographics
NPI:1841269933
Name:MANNS, LAURIE M (LPC)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:M
Last Name:MANNS
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 1:8330 CALYPSO LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-6258
Mailing Address - Country:US
Mailing Address - Phone:540-520-1123
Mailing Address - Fax:804-796-0799
Practice Address - Street 1:7760 SHRADER RD STE B
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2552
Practice Address - Country:US
Practice Address - Phone:804-591-0001
Practice Address - Fax:804-501-0101
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102061101YA0400X
VA0701003543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA465832OtherHEATHKEEPERS
VA004945263Medicaid
VA2182268OtherCIGNA
VA085295MOtherSENTARA
VA465832OtherANTHEM
VA566991000OtherMAGELLAN