Provider Demographics
NPI:1417739673
Name:NORA NOCO LLC
Entity Type:Organization
Organization Name:NORA NOCO LLC
Other - Org Name:NORA MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-913-7140
Mailing Address - Street 1:12517 SHORE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8214
Mailing Address - Country:US
Mailing Address - Phone:720-261-7210
Mailing Address - Fax:303-784-6107
Practice Address - Street 1:12517 SHORE VIEW DR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8214
Practice Address - Country:US
Practice Address - Phone:720-261-7210
Practice Address - Fax:303-784-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty