Provider Demographics
NPI:1104543867
Name:NOID, GARRETT CARL (MA)
Entity type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:CARL
Last Name:NOID
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 FOX GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8582
Mailing Address - Country:US
Mailing Address - Phone:828-242-0451
Mailing Address - Fax:
Practice Address - Street 1:157 FOX GLEN DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8582
Practice Address - Country:US
Practice Address - Phone:828-242-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health