MEDICARE: MRS. LATOYA T NEWMAN ASSOCIATE THERAPIST

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	106H00000X	Marriage & Family Therapist	MFT002272	GA

General Provider Information

NPI Number	:	1669206132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LATOYA T NEWMAN ASSOCIATE THERAPIST

Provider Business Mailing Address
First Line	:	561 THORNTON RD STE R
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-1558
Country	:	US
Telephone Number	:	470-240-6604
Fax Number	:

Provider Business Practice Location Address
First Line	:	561 THORNTON RD STE R
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-1558
Country	:	US
Telephone Number	:	470-593-0753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	02/04/2026

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