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MANES FOR CHANGE LLC
NPI 1336721364
Counselor - Professional in Mora, MN

Active since April 28, 2021
1884 MAHOGANY ST, MORA, MN 55051(320) 339-9963(320) 348-7257 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manes For Change Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANES FOR CHANGE LLC (NPI 1336721364) is a healthcare organization registered as a professional in Mora, Minnesota and active in the NPI registry since April 2021. The organization lists Jamie Rose Bankers, Owner / Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1336721364
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMANES FOR CHANGE LLC
Location Address1884 MAHOGANY STMora, MN 55051-7111
Mailing Address1884 Mahogany StMora, MN 55051-7111 · (320) 339-9963 · Fax (320) 348-7257
Phone(320) 339-9963
Fax(320) 348-7257
Organization SubpartNo
Authorized OfficialJamie Rose BankersOwner / Clinical Therapist · (320) 339-9963
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1336721364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1884 MAHOGANY ST, Mora, MN 55051
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN LYNNE WILSON MA, LPCC
Counselor (Mental Health)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (320) 339-9963
WILSON RIDGE LLC
Counselor (Mental Health)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (763) 567-3875
KATIE LORRAINE VOSS MA, LPCC
Counselor (Mental Health)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (320) 364-3256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manes For Change LLC's NPI number?

The NPI number for Manes For Change LLC is 1336721364. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Manes For Change LLC located?

Manes For Change LLC is located at 1884 Mahogany St, Mora, MN 55051. The listed phone number is (320) 339-9963.

What is Manes For Change LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Manes For Change LLC was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.