Elliott & Hicks Family Therapy Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ELLIOTT & HICKS FAMILY THERAPY CENTER

Practice address

507 Sandhurst Dr Ste 108
Fayetteville, NC 28304-4433

Phone

(910) 518-0015

Fax

(910) 838-4008

NPI assigned

Jun 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaquana Hicks

Title

Owner

Phone

(910) 518-0015

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1689560211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SANDHURST DR STE 108",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-518-0015",
            "fax_number": "910-838-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SANDHURST DR STE 108",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-518-0015",
            "fax_number": "910-838-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT & HICKS FAMILY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JAQUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-518-0015"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora Eller
• Arianna Janae Ellerbee
• Kayla House Elliot, OTR/L
• Elliott & Hicks Assisted Care Agency
• Elliott & Hicks Assisted Care Agency
• Angela H. Elliott, PHARM.D.
• Camille F Elliott, FNP-C
• Curtis Elliott Sr., LPTA
• Deidre A Elliott
• Kenyatta Elliott, IBCLC

• Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.