Provider Demographics
NPI:1669206132
Name:NEWMAN, LATOYA T (ASSOCIATE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:T
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:ASSOCIATE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2774 COBB PKWY NW STE 109-140
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-3469
Mailing Address - Country:US
Mailing Address - Phone:470-593-0753
Mailing Address - Fax:
Practice Address - Street 1:561 THORNTON RD STE R
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-1558
Practice Address - Country:US
Practice Address - Phone:470-593-0753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health