Amanda Courtenay Manchack
Social Worker, Clinical in Dallas, TX. Individual provider (NPI-1).
NPI number1982123485
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1982123485
- Entity type
- Individual (NPI-1)
- Name
- Amanda Courtenay Manchack
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2017
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 56379 | TX | Yes |
Practice location
5473 Blair Rd Ste 100Dallas, TX 75231-4227
Phone 972-904-9039
Mailing address
5473 Blair Rd Ste 100Dallas, TX 75231-4227
Phone 972-904-9039
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