Individual
AMY MARIE BULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC
Contact information
Practice address
10801 GLADE VALLEY RD, ENNICE, NC 28623-9150
(336) 200-4477
Mailing address
10801 GLADE VALLEY RD, ENNICE, NC 28623-9150
(336) 200-4477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008316
VA
101YP2500X
Professional Counselor
21425
NC
Other
Enumeration date
01/28/2020
Last updated
04/07/2026
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