Provider Demographics
NPI:1497263263
Name:NEWPORT, ABIGAIL ELIZABETH (LPCC-S)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:NEWPORT
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10999 REED HARTMAN HIGHWAY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-8301
Mailing Address - Country:US
Mailing Address - Phone:513-999-5506
Mailing Address - Fax:513-909-2610
Practice Address - Street 1:1080 NIMITZVIEW DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4314
Practice Address - Country:US
Practice Address - Phone:513-999-5506
Practice Address - Fax:513-909-2610
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801551101Y00000X
OHC.1700539-TRNE101YM0800X
OHE2102660101YP2500X
OHE.2102660-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00000OtherLICENSURE BOARD