Provider Demographics
NPI:1881351377
Name:NOBLE TRANSITIONS, LLC
Entity type:Organization
Organization Name:NOBLE TRANSITIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:317-966-7012
Mailing Address - Street 1:8555 ONE WEST DR APT 311
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5393
Mailing Address - Country:US
Mailing Address - Phone:317-966-7012
Mailing Address - Fax:
Practice Address - Street 1:5615 W 74TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1753
Practice Address - Country:US
Practice Address - Phone:317-966-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health