Provider Demographics
NPI:1851924872
Name:NEWTON, LISA KAY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KAY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:KAY
Other - Last Name:HEATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14615 E 200 S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-9281
Mailing Address - Country:US
Mailing Address - Phone:812-579-5342
Mailing Address - Fax:
Practice Address - Street 1:927 4TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6824
Practice Address - Country:US
Practice Address - Phone:812-341-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99097327A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health