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NPI Code Detail

MEDICARE: TABITHA NICOLE NEWMAN LPCC

MEDICARE: TABITHA NICOLE NEWMAN LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor148999KY
2101YP2500XProfessional Counselor148999KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112739425OTHERKYCAQH
2148999OTHERKYLICENSED PROFESSIONAL CLINICAL COUNSELOR
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639435308
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA NICOLE NEWMAN LPCC
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 500 N GREEN ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2948
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2012
Last Update Date : 02/19/2025

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Directions to “ TABITHA NICOLE NEWMAN LPCC” Practice Location

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