MR. CEALUS RUDEN MANNING NPI 1700562444

NPI Information

NPI: 1700562444
Provider Name: MR. CEALUS RUDEN MANNING
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
6763 PAGE AVE
SAINT LOUIS, MO
ZIP 63133
Phone: (314) 379-9085
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MR. Cealus Ruden Manning is a peer specialist in Saint Louis, MO. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Cealus Ruden Manning NPI is 1700562444. 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:

6763 PAGE AVE
SAINT LOUIS, MO
ZIP 63133-635
Phone: (314) 379-9085

The enumeration date for this NPI number is 6/27/2023 and was last updated on 6/27/2023.

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
1	175T00000X	Peer Specialist				Yes

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: 5/5/2024

NPI Synchronization or Removal

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