DR. CHARLES MANDA PHD NPI 1003481805

NPI Information

  • NPI: 1003481805
  • Provider Name: DR. CHARLES MANDA, PHD
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Individual
  • Address: 24 REVIS RD
    WEST LIBERTY, KY
    ZIP 41472
  • Phone: (502) 436-3533

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NPI Details

DR. Charles Manda, PHD is a pastoral counselor in West Liberty, KY. DR. Charles Manda, PHD NPI is 1003481805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 REVIS RD
WEST LIBERTY, KY
ZIP 41472-818
Phone: (502) 436-3533

The enumeration date for this NPI number is 5/24/2021 and was last updated on 6/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoral267057KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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