Provider Demographics
NPI:1932347085
Name:CLOUSE, NOELLE W (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:W
Last Name:CLOUSE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 S 8TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-2640
Mailing Address - Country:US
Mailing Address - Phone:317-450-0452
Mailing Address - Fax:317-663-1010
Practice Address - Street 1:23 S 8TH ST STE 200
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2640
Practice Address - Country:US
Practice Address - Phone:317-450-0452
Practice Address - Fax:317-663-1010
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002042A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1932347085OtherNPI