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QUEEN-DESTINY MANSON CRPA
NPI 1770150518
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since June 09, 2021
2761 SAMPSON AVE APT 3C, BRONX, NY 10465(347) 928-1314 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Queen-destiny Manson Crpa NPPES

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

QUEEN-DESTINY MANSON CRPA (NPI 1770150518) is an individual addiction (substance use disorder) provider in Bronx, New York and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1770150518
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameQUEEN-DESTINY MANSONCredential: CRPA
Location Address2761 SAMPSON AVE APT 3CBronx, NY 10465-2935
Mailing Address2761 Sampson Ave Apt 3cBronx, NY 10465-2935 · (347) 928-1314
Phone(347) 928-1314
Sole ProprietorYes
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1770150518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2761 SAMPSON AVE APT 3C, Bronx, NY 10465
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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 Queen-destiny Manson's NPI number?

The NPI number for Queen-destiny Manson is 1770150518. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Queen-destiny Manson located?

Queen-destiny Manson practices at 2761 Sampson Ave Apt 3C, Bronx, NY 10465. The listed phone number is (347) 928-1314.

What is Queen-destiny Manson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Queen-destiny Manson was last updated on June 9, 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.