Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Martica Lourdes Bacallao, PHDLCSW

Individual provider Mental Health Counselor · NPI 1649031022

Martica Lourdes Bacallao, PHDLCSW is a Mental Health Counselor in Lumberton, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

900 N Chestnut St
Lumberton, NC 28358-4854
Phone: (910) 739-3064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C015288 (NC)

Record details

NPI number1649031022
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDLCSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

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