Provider Demographics
NPI:1215675624
Name:NOBLE LIFE COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:NOBLE LIFE COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:ABSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-646-7462
Mailing Address - Street 1:1138 N GERMANTOWN PKWY STE 101 PMB 149
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5872
Mailing Address - Country:US
Mailing Address - Phone:901-646-7462
Mailing Address - Fax:
Practice Address - Street 1:1138 NORTH GERMANTOWN PARKWAY SUITE 101 #249
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-3801
Practice Address - Country:US
Practice Address - Phone:901-646-7462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health