Doctor Name: | KESHIA SHULUNDA MCGIRT |
NPI Number: | 1205271293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., ALC |
License Number: | C2105A |
Business Practice Address: | 300 Carter Dr Grove Hill, AL - 364513306 |
Business Phone Number: | 2512754135 |
Business Fax Number: | 2512752862 |
Mailing Address: | Po Box 248, GROVE HILL |
State: | AL |
Postal Code: | 364510248 |
Phone Number: | 2512754135 |
Fax Number: | 2512752862 |
NPI Enumeration Date: | 05/03/2013 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C2105A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |