Healthcare Provider Details

I. General information

NPI: 1538679352
Provider Name (Legal Business Name): ARTISAN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2017
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11713 JEFFERSON AVE STE 200
NEWPORT NEWS VA
23606-2400
US

IV. Provider business mailing address

11713 JEFFERSON AVE STE 200
NEWPORT NEWS VA
23606-2400
US

V. Phone/Fax

Practice location:
  • Phone: 757-503-2819
  • Fax: 757-369-1981
Mailing address:
  • Phone: 757-503-2819
  • Fax: 757-369-1981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701005314
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701005314
License Number StateVA

VIII. Authorized Official

Name: BENJAMIN SEAN NEWMAN
Title or Position: OWNER
Credential: LPC
Phone: 757-876-9513