Provider Demographics
NPI:1699802249
Name:NEWMAN, THERESA K (LPC)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:K
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 BIRDNECK CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5516
Mailing Address - Country:US
Mailing Address - Phone:757-385-6955
Mailing Address - Fax:757-819-6292
Practice Address - Street 1:409 BIRDNECK CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5516
Practice Address - Country:US
Practice Address - Phone:757-385-6955
Practice Address - Fax:757-819-6292
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003553101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health