Organization
SERENITY SHORES THERAPY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE BULLARD LMFTA (CEO/THERAPIST)
(910) 795-9735
Entity
Organization
Contact information
Practice address
201 N FRONT ST STE 409, WILMINGTON, NC 28401-5093
(910) 795-9735
Mailing address
201 N FRONT ST STE 409, WILMINGTON, NC 28401-5093
(910) 795-9735
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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