Provider Demographics
NPI:1912031386
Name:NEWSON, DENISE INEZ (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:INEZ
Last Name:NEWSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6304 LOOKING GLASS LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-0005
Mailing Address - Country:US
Mailing Address - Phone:317-826-6535
Mailing Address - Fax:
Practice Address - Street 1:9105 E 56TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2229
Practice Address - Country:US
Practice Address - Phone:317-377-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health