Provider Demographics
NPI:1225643950
Name:TANA NOONAN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
Entity Type:Organization
Organization Name:TANA NOONAN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC
Other - Org Name:INTUITIVE ALLY COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOONAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:951-384-1380
Mailing Address - Street 1:38209 HERMOSA CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6236
Mailing Address - Country:US
Mailing Address - Phone:760-880-8357
Mailing Address - Fax:
Practice Address - Street 1:28936 OLD TOWN FRONT ST STE 207
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2890
Practice Address - Country:US
Practice Address - Phone:951-384-1380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty