Provider Demographics
NPI:1649081837
Name:GOUR, JANEY CAPERS NEWLAND
Entity type:Individual
Prefix:
First Name:JANEY CAPERS
Middle Name:NEWLAND
Last Name:GOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FURMAN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-4708
Mailing Address - Country:US
Mailing Address - Phone:843-870-0294
Mailing Address - Fax:
Practice Address - Street 1:311 PETTIGRU ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3112
Practice Address - Country:US
Practice Address - Phone:843-410-7881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health