Healthcare Provider Details

I. General information

NPI: 1437613676
Provider Name (Legal Business Name): JOSHUA LENOX
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611B OWEN DR
FAYETTEVILLE NC
28304-3425
US

IV. Provider business mailing address

2581 PREVIS RD
FAYETTEVILLE NC
28306-2781
US

V. Phone/Fax

Practice location:
  • Phone: 910-483-5884
  • Fax:
Mailing address:
  • Phone: 713-505-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA14588
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: