| Noble Journey Llc | |
|
6300 76th St Ste 200 Kenosha WI 53142-4018 | |
| (262) 960-1981 | |
| Not Available |
| Full Name | Noble Journey Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6300 76th St Ste 200, Kenosha, Wisconsin |
| Authorized Official Name and Position | Nyles Antony Jackson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2629601981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble Journey Llc 2800 E Enterprise Ave Ste 333 Appleton WI 54913-7889 Ph: (262) 960-1981 | Noble Journey Llc 6300 76th St Ste 200 Kenosha WI 53142-4018 Ph: (262) 960-1981 |
| NPI Number | 1477413672 |
|---|---|
| Provider Enumeration Date | 11/12/2025 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477413672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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