Provider Demographics
NPI:1588101133
Name:JOSEPH LABA
Entity type:Organization
Organization Name:JOSEPH LABA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TARKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED SUBSTANCE
Authorized Official - Phone:919-986-2780
Mailing Address - Street 1:630 WEATHERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3221
Mailing Address - Country:US
Mailing Address - Phone:919-986-2780
Mailing Address - Fax:
Practice Address - Street 1:211 EAST SIX FORKS RD SUITE 217 RALEIGH, NC 27609
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:WAKE COUNTY
Practice Address - Zip Code:27609
Practice Address - Country:UG
Practice Address - Phone:919-833-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health