Provider Demographics
NPI:1740411610
Name:NEWTON, LASHANNA (EDD, CRC, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:LASHANNA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:EDD, CRC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 HANNOVER CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7962
Mailing Address - Country:US
Mailing Address - Phone:678-206-5835
Mailing Address - Fax:770-507-1371
Practice Address - Street 1:110 EAGLES WALK
Practice Address - Street 2:STE 100
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7204
Practice Address - Country:US
Practice Address - Phone:770-507-6044
Practice Address - Fax:770-507-5284
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional