Provider Demographics
NPI:1912158379
Name:MANALANG, JANIS (LPC LHMC)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:
Last Name:MANALANG
Suffix:
Gender:F
Credentials:LPC LHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 WHALE HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4646
Mailing Address - Country:US
Mailing Address - Phone:703-728-7650
Mailing Address - Fax:
Practice Address - Street 1:2518 WHALE HARBOR LN
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-4646
Practice Address - Country:US
Practice Address - Phone:703-728-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9217101YM0800X
DCPRC14487101YP2500X
VA0701004434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health