Provider Demographics
NPI:1659117182
Name:NEWTON, MARYANA (MA, LCMHC-A, LCAS-A)
Entity type:Individual
Prefix:
First Name:MARYANA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MA, LCMHC-A, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 ROARING FORK RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28743-7783
Mailing Address - Country:US
Mailing Address - Phone:252-292-8225
Mailing Address - Fax:
Practice Address - Street 1:2009 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-2132
Practice Address - Country:US
Practice Address - Phone:252-292-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27774101YA0400X
NCA17024101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)