Provider Demographics
NPI:1154825792
Name:NEWTON, ADRIAN DEVETTE (MHS)
Entity type:Individual
Prefix:MS
First Name:ADRIAN
Middle Name:DEVETTE
Last Name:NEWTON
Suffix:
Gender:
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 828
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71052-0828
Mailing Address - Country:US
Mailing Address - Phone:318-871-5566
Mailing Address - Fax:318-871-1076
Practice Address - Street 1:809 POLK ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2452
Practice Address - Country:US
Practice Address - Phone:318-871-5566
Practice Address - Fax:318-871-1076
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator