Provider Demographics
NPI:1821320565
Name:NEWSHAM, JANET IRENE (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:IRENE
Last Name:NEWSHAM
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 NICKAJACK ROAD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT SHADE
Mailing Address - State:TN
Mailing Address - Zip Code:37145
Mailing Address - Country:US
Mailing Address - Phone:615-486-4646
Mailing Address - Fax:
Practice Address - Street 1:71 NICKAJACK RD
Practice Address - Street 2:
Practice Address - City:PLEASANT SHADE
Practice Address - State:TN
Practice Address - Zip Code:37145-3221
Practice Address - Country:US
Practice Address - Phone:615-486-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
DCPRC15417101YP2500X
CT3278101YP2500X
TN3115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health