1801555727 NPI number — RENA BLAINE MANELA-POTZMAN M.ED, LPC, PMH-C

Table of content: RENA BLAINE MANELA-POTZMAN M.ED, LPC, PMH-C (NPI 1801555727)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801555727 NPI number — RENA BLAINE MANELA-POTZMAN M.ED, LPC, PMH-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MANELA-POTZMAN
Provider First Name:
RENA
Provider Middle Name:
BLAINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED, LPC, PMH-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801555727
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5508 GRACE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18017-9059
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-349-1139
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5508 GRACE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-9059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-349-1139
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC014046 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PC014046 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com