Provider Demographics
NPI:1295753606
Name:NOBLE, CYNTHIA HIGGINS (MSED, LPC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:HIGGINS
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MSED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 TUNAS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8729
Mailing Address - Country:US
Mailing Address - Phone:919-861-8890
Mailing Address - Fax:919-861-8893
Practice Address - Street 1:146 WIND CHIME CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6433
Practice Address - Country:US
Practice Address - Phone:919-861-8890
Practice Address - Fax:919-861-8893
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130A1OtherBLUE CROSS BLUE SHIELD