Provider Demographics
NPI:1154690485
Name:NEWELL, RITA ANTONIA (MA, LLPC)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ANTONIA
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:MISS
Other - First Name:RITA
Other - Middle Name:ANTONIA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 INDIANOLA RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9403
Mailing Address - Country:US
Mailing Address - Phone:707-267-7812
Mailing Address - Fax:
Practice Address - Street 1:124 INDIANOLA RD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-9403
Practice Address - Country:US
Practice Address - Phone:707-267-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012163101Y00000X
171M00000X, 172V00000X
CA15005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker