Provider Demographics
NPI:1417015488
Name:NEWTON, BARBARA A (LMFT, SAP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LMFT, SAP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:BERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:179 PIERCE AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2821
Mailing Address - Country:US
Mailing Address - Phone:478-742-1464
Mailing Address - Fax:478-742-1883
Practice Address - Street 1:179 PIERCE AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2821
Practice Address - Country:US
Practice Address - Phone:478-742-1464
Practice Address - Fax:478-742-1883
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA311318875AMedicaid