Healthcare Provider Details

I. General information

NPI: 1184477473
Provider Name (Legal Business Name): SOPHIA NEWMAN MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LENOX POINTE NE
ATLANTA GA
30324-3167
US

IV. Provider business mailing address

6 LENOX POINTE NE
ATLANTA GA
30324-3167
US

V. Phone/Fax

Practice location:
  • Phone: 404-457-1091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT002267
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: