Provider Information for 1679822589
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
RIKKI VENISE BULLARD LPC
Sex: Female
NPI: 1679822589
Last Updated: 2023-09-25
Certification Date: 2023-09-25
Certification Date: 2023-09-25
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679822589 | ||||||||||||
| Enumeration Date | 2012-09-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3210 FAIRHILL DR RALEIGH, NC 27612-3215 United States Phone: 919-256-0824 | Fax:919-256-0833 | ||||||||||||
| Primary Practice Address | 41 LENORS DR LUMBERTON, NC 28360-5210 United States Phone: 910-736-9376 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|