Provider Demographics
NPI:1851279764
Name:AMY MANION FAMILY THERAPY
Entity type:Organization
Organization Name:AMY MANION FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANION
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-604-8733
Mailing Address - Street 1:62227 POWELL BUTTE HWY
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-9355
Mailing Address - Country:US
Mailing Address - Phone:541-604-8733
Mailing Address - Fax:877-640-1415
Practice Address - Street 1:1051 NW BOND ST STE 210
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2059
Practice Address - Country:US
Practice Address - Phone:541-604-8733
Practice Address - Fax:877-640-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty