Mary Alisa Bullock is a Lexington, North Carolina based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mary Alisa Bullock is LCAS-25659 for Addiction (Substance Use Disorder) Counselor in North Carolina. Her current practice location is 1104a S Main St, Lexington. Patients can book an appointment with her at 336-242-2450.
Mary Alisa Bullock is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mary Alisa Bullock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mary Alisa Bullock
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LPCA, LCASA, NCC
Accepts Medicare Assignment:
No
Practice Address:
1104a S Main St, Lexington, North Carolina, 27292-3134
Phone:
336-242-2450
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902458037
NPI Enumeration Date:
09 Jul, 2019
NPI Last Update On:
01 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Alisa Bullock are as mentioned below.
License Number
Specialization
State
Status
LCAS-25659
Addiction (Substance Use Disorder) Counselor
North Carolina
Primary
25659
Addiction (Substance Use Disorder) Counselor
North Carolina
Secondary
A14910
Mental Health Counselor
North Carolina
Secondary
14910
Professional Counselor
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Alisa Bullock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
101YP2500X
Other
North Carolina
STATE OF NC
101YA0400X
Other
North Carolina
STATE OF NC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
284 Executive Park Dr Ste 100, Concord, North Carolina
Zip:
28025-1833
Phone Number:
704-939-1100
Fax Number:
704-939-1173
Patients can reach Mary Alisa Bullock at 1104a S Main St, Lexington, North Carolina or can call to book an appointment on 336-242-2450. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.