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

Miss. Bertha Delois Bullock, LCSWA

Individual provider Mental Health Counselor · NPI 1174479588

Miss. Bertha Delois Bullock, LCSWA is a Mental Health Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

2472 Tonoloway Dr
Raleigh, NC 27610-7190
Phone: (252) 739-6641
Fax: (252) 739-6641
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 P023264 (NC)

Record details

NPI number1174479588
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 8, 2026

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