Provider Demographics
NPI:1750880738
Name:NEWHOUSE, TRISHONI LANISHKA (MA, LLPC)
Entity type:Individual
Prefix:MRS
First Name:TRISHONI
Middle Name:LANISHKA
Last Name:NEWHOUSE
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:MRS
Other - First Name:SHONI
Other - Middle Name:LANISHKA
Other - Last Name:NEWHOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3620 LOVERS LANE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001
Mailing Address - Country:US
Mailing Address - Phone:951-312-8199
Mailing Address - Fax:
Practice Address - Street 1:5400 HOLIDAY TER
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2161
Practice Address - Country:US
Practice Address - Phone:269-372-4500
Practice Address - Fax:269-372-7230
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional