MEDICARE: NEWSON COUNSELING & CONSULTING LLC

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

General Provider Information

NPI Number	:	1548885700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWSON COUNSELING & CONSULTING LLC

Provider Business Mailing Address
First Line	:	2023 RIDGE RD UNIT 2NW
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1786
Country	:	US
Telephone Number	:	708-408-6650
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 RIDGE RD UNIT 2NW
Second Line	:
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1786
Country	:	US
Telephone Number	:	708-408-6650
Fax Number	:

Authorized Official
Title or Position	:	LEAD THERAPIST
Name	:	MS. LATESHA LILLIE NEWSON
Credential	:	LCSW
Telephone Number	:	708-408-6650

Provider Enumeration Date	:	06/13/2020
Last Update Date	:	06/13/2020

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