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Organization

WE CARE FOR YOU

Active
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Organization

WE CARE FOR YOU

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANISSA EMANUEL-BULLARD PHYSICIAN ASSISTANT (OWNER)
(910) 735-0500
Entity
Organization

Contact information

Practice address
3555D ROBERTS AVE, LUMBERTON, NC 28360
(910) 735-0500
(910) 735-0200
Mailing address
1548 NC HIGHWAY 211 W, LUMBERTON, NC 28360
(910) 735-0500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
COO1559
NC
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
07/20/2006
Last updated
09/11/2025
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