Provider Demographics
NPI:1487315610
Name:NEWTON, REECE (MA, NCC)
Entity type:Individual
Prefix:MR
First Name:REECE
Middle Name:
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 FRANCIS PL SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-4171
Mailing Address - Country:US
Mailing Address - Phone:678-983-9422
Mailing Address - Fax:678-547-6137
Practice Address - Street 1:485 FRANCIS PL SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-4171
Practice Address - Country:US
Practice Address - Phone:678-983-9422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health