Provider Demographics
NPI:1356999429
Name:NEWTON, WHITNEY LANE JACOBS (MED, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LANE JACOBS
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MED, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 ROCHELLE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2028
Mailing Address - Country:US
Mailing Address - Phone:615-298-9548
Mailing Address - Fax:
Practice Address - Street 1:842 TYNE BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1505
Practice Address - Country:US
Practice Address - Phone:615-298-9548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health