Provider Demographics
NPI:1992338883
Name:IAN NEWLIN LC
Entity type:Organization
Organization Name:IAN NEWLIN LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCMFT
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-972-1559
Mailing Address - Street 1:5201 JOHNSON DR STE 305
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2920
Mailing Address - Country:US
Mailing Address - Phone:913-972-1559
Mailing Address - Fax:844-491-6063
Practice Address - Street 1:5201 JOHNSON DR STE 305
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66205-2920
Practice Address - Country:US
Practice Address - Phone:913-972-1559
Practice Address - Fax:844-491-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty