Healthcare Provider Details

I. General information

NPI: 1669055844
Provider Name (Legal Business Name): NOBLE HEALTH AND BEHAVIORAL CARES SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W PATAPSCO AVE
BROOKLYN MD
21225-1604
US

IV. Provider business mailing address

4714 STELLABROOKE LN
ROSEDALE MD
21237-3744
US

V. Phone/Fax

Practice location:
  • Phone: 443-351-8926
  • Fax: 443-273-1186
Mailing address:
  • Phone: 443-351-8926
  • Fax: 443-273-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTHER CHIKWE
Title or Position: CEO/PROVIDER
Credential: CRNP-PMHNP
Phone: 443-351-8926