| Doctor Name: | MS. SHIRLEY PARKER |
| NPI Number: | 1104143882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.S. |
| License Number: | 1479 |
| Business Practice Address: | 2224 S Croatan Hwy Unit D Nags Head, NC - 279598813 |
| Business Phone Number: | 2522073837 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1561, KILL DEVIL HILLS |
| State: | NC |
| Postal Code: | 279481561 |
| Phone Number: | 2522073837 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2010 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1479 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |