MEDICARE: MRS. EMILY M NOBLIN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701002694	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	081732	OTHER	VA	SENTERA MENTAL HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	188646	OTHER	VA	ANTHEM MENTAL HEALTH PROV

General Provider Information

NPI Number	:	1679536767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY M NOBLIN LPC

Provider Business Mailing Address
First Line	:	504 WILBORN AVE
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3120
Country	:	US
Telephone Number	:	434-572-6935
Fax Number	:	434-572-4827

Provider Business Practice Location Address
First Line	:	504 WILBORN AVE
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3120
Country	:	US
Telephone Number	:	434-572-6935
Fax Number	:	434-572-4827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	02/05/2026

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