SHORAY KIRK LPC - NPI 1770511800 - Counselor in Knoxville, TN

Q: What is Shoray Kirk's NPI number?

The NPI number for Shoray Kirk is 1770511800. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Shoray Kirk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shoray Kirk was last updated on July 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shoray Kirk Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORAY KIRK LPC (NPI 1770511800) is an individual professional provider in Knoxville, Tennessee, licensed in Tennessee (LPC1508) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1770511800

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHORAY KIRKCredential: LPC

Location Address108 W SUMMIT HILL DRKnoxville, TN 37902

Mailing Address108 W Summit Hill DrKnoxville, TN 37902 · (865) 525-1099 · Fax (865) 525-7494

Phone(865) 525-1099

Fax(865) 525-7494

Sole ProprietorYes

Enumeration DateJune 29, 2006

Last NPPES UpdateJuly 2, 2008

✔ NPI 1770511800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · LPC1508

108 W SUMMIT HILL DR, Knoxville, TN 37902

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Other Identifiers 2

Other4076057TN · Bcbs Tn

Medicaid5441092TN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN ANN BOLDING LCSW

Social Worker (Clinical)