Provider Demographics
NPI:1346395498
Name:NOBLES, LAURA KAY (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KAY
Last Name:NOBLES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3682 IVY RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-7126
Mailing Address - Country:US
Mailing Address - Phone:252-412-0768
Mailing Address - Fax:252-321-3781
Practice Address - Street 1:504 DEXTER ST STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6320
Practice Address - Country:US
Practice Address - Phone:252-412-0768
Practice Address - Fax:252-321-2781
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional