Healthcare Provider Details

I. General information

NPI: 1962331090
Provider Name (Legal Business Name): ITSNME2, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 THORNTON RD STE R
LITHIA SPRINGS GA
30122
US

IV. Provider business mailing address

3506 SUMMERLIN PKWY
LITHIA SPRINGS GA
30122-7812
US

V. Phone/Fax

Practice location:
  • Phone: 470-240-0048
  • Fax:
Mailing address:
  • Phone: 470-240-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LATOYA T. NEWMAN
Title or Position: OWNER/CEO
Credential: LMFT
Phone: 470-240-6604