Provider Demographics
NPI:1144629569
Name:WIB NEWTON, PLLC
Entity type:Organization
Organization Name:WIB NEWTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LMFT
Authorized Official - Phone:806-374-5950
Mailing Address - Street 1:4211 W I 40
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-6053
Mailing Address - Country:US
Mailing Address - Phone:806-374-5950
Mailing Address - Fax:806-358-4345
Practice Address - Street 1:4211 W I 40
Practice Address - Street 2:SUITE 203
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-6053
Practice Address - Country:US
Practice Address - Phone:806-374-5950
Practice Address - Fax:806-358-4345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14311261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)