Healthcare Provider Details

I. General information

NPI: 1285228445
Provider Name (Legal Business Name): NEWMAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 ELLIOT ST STE 100
NEWTON UPPER FALLS MA
02464-1126
US

IV. Provider business mailing address

86 CONGREVE ST
ROSLINDALE MA
02131-1936
US

V. Phone/Fax

Practice location:
  • Phone: 978-394-7784
  • Fax:
Mailing address:
  • Phone: 978-394-7784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. KIRSTEN NEWMAN
Title or Position: PSYCHOTHERAPIST
Credential: LMHC
Phone: 978-394-7784