Provider Demographics
NPI:1366604571
Name:MANNERS, FRANK DUANE (LCSW)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:DUANE
Last Name:MANNERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 GLENSIDE DR STE A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3995
Mailing Address - Country:US
Mailing Address - Phone:804-672-8390
Mailing Address - Fax:804-672-8393
Practice Address - Street 1:5412 GLENSIDE DR STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3995
Practice Address - Country:US
Practice Address - Phone:804-672-8390
Practice Address - Fax:804-672-8393
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health