Healthcare Provider Details

I. General information

NPI: 1457294407
Provider Name (Legal Business Name): ADRIANE MARIE FOX LCMHCA; LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 FAIRWAY DR STE A
FAYETTEVILLE NC
28305-5564
US

IV. Provider business mailing address

225 FAIRWAY DR STE A
FAYETTEVILLE NC
28305-5564
US

V. Phone/Fax

Practice location:
  • Phone: 910-580-9346
  • Fax: 910-229-3622
Mailing address:
  • Phone: 910-580-9346
  • Fax: 910-229-3622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31484
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22765
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: