Provider Demographics
NPI:1649402538
Name:NEWMAN, ANDREA PAULA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:PAULA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5723 GUADALUPE TRL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5425
Mailing Address - Country:US
Mailing Address - Phone:505-975-0271
Mailing Address - Fax:505-884-4092
Practice Address - Street 1:2500 LOUISIANA BLVD NE STE 250
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-5340
Practice Address - Country:US
Practice Address - Phone:505-843-8450
Practice Address - Fax:505-344-3901
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0124151101YA0400X
NM0124571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM8578808Medicaid