Provider Demographics
NPI:1114182060
Name:NOELKER, LAUREN E (MS)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:E
Last Name:NOELKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 NORTHPORT RD
Mailing Address - Street 2:APT 2
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-3882
Mailing Address - Country:US
Mailing Address - Phone:901-461-0450
Mailing Address - Fax:
Practice Address - Street 1:1996 NORTHPORT ROAD
Practice Address - Street 2:APT 2
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-3882
Practice Address - Country:US
Practice Address - Phone:901-461-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health