MEDICARE: MR. THOMAS NEWMAN LPCC-S

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
1	101YM0800X	Mental Health Counselor	E.0500066-SUPV	OH

General Provider Information

NPI Number	:	1689024572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS NEWMAN LPCC-S

Provider Business Mailing Address
First Line	:	525 N CLEVELAND MASSILLON RD STE 103
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-3332
Country	:	US
Telephone Number	:	234-867-5016
Fax Number	:	833-252-0953

Provider Business Practice Location Address
First Line	:	525 N CLEVELAND MASSILLON RD STE 103
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-3332
Country	:	US
Telephone Number	:	234-867-5016
Fax Number	:	833-252-0953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	03/04/2022

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