Healthcare Provider Details

I. General information

NPI: 1285594374
Provider Name (Legal Business Name): NOBLE PATH MENTAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S VALLEY RD STE 304E
PAOLI PA
19301-1450
US

IV. Provider business mailing address

30 S VALLEY RD STE 304E
PAOLI PA
19301-1450
US

V. Phone/Fax

Practice location:
  • Phone: 484-222-0780
  • Fax:
Mailing address:
  • Phone: 484-222-0780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA BIANCA TARLOSKI
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 484-222-0780