Provider Demographics
NPI:1316306087
Name:NOEL, ANNA A (MS)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:A
Last Name:NOEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:A
Other - Last Name:THAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2706 KINGS CT
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3357
Mailing Address - Country:US
Mailing Address - Phone:260-409-0888
Mailing Address - Fax:
Practice Address - Street 1:2706 KINGS CT
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3357
Practice Address - Country:US
Practice Address - Phone:260-409-0888
Practice Address - Fax:812-298-3291
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IN39002884A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health