Organization
ELLIOTT & HICKS FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUANA HICKS (OWNER)
(910) 518-0015
Entity
Organization
Contact information
Practice address
507 SANDHURST DR STE 108, FAYETTEVILLE, NC 28304-4433
(910) 518-0015
(910) 838-4008
Mailing address
507 SANDHURST DR STE 108, FAYETTEVILLE, NC 28304-4433
(910) 518-0015
(910) 838-4008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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