Provider Demographics
NPI:1619944436
Name:NOBLE BEHAVIORAL HEALTH CHOICES INC.
Entity Type:Organization
Organization Name:NOBLE BEHAVIORAL HEALTH CHOICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLEISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-732-5988
Mailing Address - Street 1:48 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-1356
Mailing Address - Country:US
Mailing Address - Phone:740-732-5988
Mailing Address - Fax:740-732-4154
Practice Address - Street 1:48 OLIVE ST
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:OH
Practice Address - Zip Code:43724-1356
Practice Address - Country:US
Practice Address - Phone:740-732-5988
Practice Address - Fax:740-732-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0731140Medicaid
OH1425Medicare UPIN
OH9933051Medicare ID - Type Unspecified