Nicole Lee Manza | New York, NY • PECOS Search

Nicole Lee Manza

Counselor

Behavioral Health & Social Service Providers

1115 Broadway Ste 1206, New York, NY 10010-3450

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Lee Manza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1265982227
Provider Type
Individual
Full Name
Manza, Nicole Lee
Credential
LPC, LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2016
Last Updated
4/26/2023

Contact Information

Practice Location

1115 Broadway Ste 1206, New York, NY 10010-3450

(914) 462-4441

Mailing Location

1115 Broadway Ste 1206, New York, NY 10010-3450

(914) 462-4441

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 37AC00264900 New Jersey