Provider Demographics
NPI:1508497553
Name:NEWTON, TAMARA LOREASE (MS,LPCA)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:LOREASE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MS,LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SANGAREE PKWY APT 103C
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2097
Mailing Address - Country:US
Mailing Address - Phone:803-747-6466
Mailing Address - Fax:
Practice Address - Street 1:200 W 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6512
Practice Address - Country:US
Practice Address - Phone:843-647-2346
Practice Address - Fax:843-647-2344
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional