Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryanna Elizabeth Manderville, LPC

Individual provider Professional Counselor · NPI 1285916593

Maryanna Elizabeth Manderville, LPC is a Mental Health Counselor in Montgomery, Alabama. Qualified in 2007, 19 years ago. Practices with Gardenia Cove Mental Health PC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
19
Licensed in
AL
In the registry since
2011
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2637 Eastern Blvd
Montgomery, AL 36117
Phone: (334) 409-9090
Fax: (334) 409-9669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2878 (AL)

Record details

NPI number1285916593
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Gardenia Cove Mental Health Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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