Individual provider · Type 1 NPI

Michelle Derae Newton-Foncham, LCMHC, LCAS, CCS-I

Professional Counselor · Charlotte, NC

NPI number 1699148361 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Call (980) 390-7762 Map

Fax (980) 301-9309

Mailing address

Virtual Only
Charlotte, NC 28216

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11982 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-21512 (NC)

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About NPI 1699148361

Michelle Derae Newton-Foncham, LCMHC, LCAS, CCS-I's National Provider Identifier is 1699148361, issued on Nov 3, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Jul 22, 2026.