Healthcare Provider Details

I. General information

NPI: 1235904483
Provider Name (Legal Business Name): NOBLE COUNSELING & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 09/16/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 S VALLEY VIEW BLVD STE 4
LAS VEGAS NV
89102-0116
US

IV. Provider business mailing address

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS NV
89128-8380
US

V. Phone/Fax

Practice location:
  • Phone: 725-600-2708
  • Fax:
Mailing address:
  • Phone: 725-600-2708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALANNA WALKER
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 725-600-2708