Healthcare Provider Details

I. General information

NPI: 1710804570
Provider Name (Legal Business Name): HONOR FOUTCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 CASCADE POINTE LN
CARY NC
27513-5804
US

IV. Provider business mailing address

4326 JEAN AVE
DURHAM NC
27707-5051
US

V. Phone/Fax

Practice location:
  • Phone: 917-334-8512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23172
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: