Stephanie Ailis Martin, - Counselor in Bullock, NC

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Stephanie Ailis Martin, is a Counselor - Mental Health based in Bullock, North Carolina. Stephanie Ailis Martin is licensed to practice in North Carolina (license number P018296) and her current practice location is 9553 Whippoorwill Ridge Rd, Bullock, North Carolina. She can be reached at her office (for appointments etc.) via phone at (434) 774-5505.

NPI number for Stephanie Ailis Martin is 1487430757 and her current mailing address is 9553 Whippoorwill Ridge Rd, Bullock, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487430757.

Contact Information

Stephanie Ailis Martin,
9553 Whippoorwill Ridge Rd,
Bullock, NC 27507-9362
(434) 774-5505
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStephanie Ailis Martin
GenderFemale
SpecialityCounselor - Mental Health
Location9553 Whippoorwill Ridge Rd, Bullock, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487430757
  • Provider Enumeration Date: 09/04/2023
  • Last Update Date: 09/04/2023

Medical Identifiers

Medical identifiers for Stephanie Ailis Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487430757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-29171 (North Carolina)Secondary
101YM0800XCounselor - Mental Health P018296 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Ailis Martin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Ailis Martin,
9553 Whippoorwill Ridge Rd,
Bullock, NC 27507-9362

Ph: (434) 774-5505		Stephanie Ailis Martin,
9553 Whippoorwill Ridge Rd,
Bullock, NC 27507-9362

Ph: (434) 774-5505

Reviews and Comments


Counselor in Bullock, NC


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