Provider Demographics
NPI:1366452831
Name:NOBLE, MICHELE ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:ANN
Last Name:NOBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 WOODLAND CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4583
Mailing Address - Country:US
Mailing Address - Phone:336-629-6770
Mailing Address - Fax:
Practice Address - Street 1:1205 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4537
Practice Address - Country:US
Practice Address - Phone:336-629-4471
Practice Address - Fax:336-629-5805
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC3434OtherMEDCOST PROVIDER NUMBER
NC6005245Medicaid
NCA1291OtherMEDCOST GROUP NUMBER
NC014M2OtherBCBS GROUP NUMBER
NC6102000Medicaid
NC1270KOtherBLUE CROSS BLUE SHIELD