Healthcare Provider Details

I. General information

NPI: 1437019387
Provider Name (Legal Business Name): MRS. ALEXIS HUFCUT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 COLLEGE ST
JACKSONVILLE NC
28540-5310
US

IV. Provider business mailing address

615 COLLEGE ST
JACKSONVILLE NC
28540-5310
US

V. Phone/Fax

Practice location:
  • Phone: 910-218-0006
  • Fax:
Mailing address:
  • Phone: 910-218-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22111
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: