Healthcare Provider Details

I. General information

NPI: 1710899703
Provider Name (Legal Business Name): ADRIANNA ROULHAC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4834 US HIGHWAY 301 S STE 104
HOPE MILLS NC
28348-9328
US

IV. Provider business mailing address

3371 GALLERIA DR
FAYETTEVILLE NC
28303-9410
US

V. Phone/Fax

Practice location:
  • Phone: 336-510-7910
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: