Provider Demographics
NPI:1912170432
Name:FEWELL, NATALIE CHRISTINA THORPE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:CHRISTINA THORPE
Last Name:FEWELL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
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Other - First Name:
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Mailing Address - Street 1:318 LIONSHEAD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1353
Mailing Address - Country:US
Mailing Address - Phone:919-812-7363
Mailing Address - Fax:910-778-1619
Practice Address - Street 1:5135 MORGANTON RD
Practice Address - Street 2:STE 201
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1525
Practice Address - Country:US
Practice Address - Phone:919-812-7363
Practice Address - Fax:910-778-1619
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC6953101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional