MANNY LEE GARDUQUE NPI 1235599713

NPI Information

  • NPI: 1235599713
  • Provider Name: MANNY LEE GARDUQUE
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 5163 CLEVELAND ST
    VIRGINIA BEACH, VA
    ZIP 23462
  • Phone: (757) 494-8828

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NPI Details

Manny Lee Garduque is a counselor in Virginia Beach, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Manny Lee Garduque NPI is 1235599713. 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:

5163 CLEVELAND ST
VIRGINIA BEACH, VA
ZIP 23462-501
Phone: (757) 494-8828

The enumeration date for this NPI number is 2/26/2016 and was last updated on 2/26/2016.

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
1101Y00000XCounselor101Y00000XVIRGINIAYes

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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