Provider Demographics
NPI:1700404407
Name:PAULA S. NEWMAN, PLLC
Entity Type:Organization
Organization Name:PAULA S. NEWMAN, PLLC
Other - Org Name:FAMILY ENRICHMENT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:SANDERS
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:919-473-9139
Mailing Address - Street 1:1921 N POINTE DR STE 207
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2688
Mailing Address - Country:US
Mailing Address - Phone:919-473-9139
Mailing Address - Fax:888-893-4648
Practice Address - Street 1:1921 N POINTE DR STE 207
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2688
Practice Address - Country:US
Practice Address - Phone:919-473-9139
Practice Address - Fax:888-893-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102910Medicaid