Provider Demographics
NPI:1346085164
Name:NOBLE ROWAN COUNSELING LLC
Entity type:Organization
Organization Name:NOBLE ROWAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:TSHELA
Authorized Official - Last Name:SHOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:856-209-4178
Mailing Address - Street 1:3605 HAYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1517
Mailing Address - Country:US
Mailing Address - Phone:856-209-4178
Mailing Address - Fax:215-706-8287
Practice Address - Street 1:3605 HAYWOOD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1517
Practice Address - Country:US
Practice Address - Phone:856-209-4178
Practice Address - Fax:215-706-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)