Healthcare Provider Details

I. General information

NPI: 1437084621
Provider Name (Legal Business Name): KIRRA BEECHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 OCEAN HWY W
SUPPLY NC
28462-4048
US

IV. Provider business mailing address

318 BRIGHTON RD
WILMINGTON NC
28409-4002
US

V. Phone/Fax

Practice location:
  • Phone: 910-754-4114
  • Fax:
Mailing address:
  • Phone: 910-620-7445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: