Healthcare Provider Details

I. General information

NPI: 1023384237
Provider Name (Legal Business Name): BELINDA LEE SHIRK LPC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 COUNTRY CLUB RD.
ARGYLE TX
76226
US

IV. Provider business mailing address

914 COUNTRY CLUB RD
ARGYLE TX
76226-2503
US

V. Phone/Fax

Practice location:
  • Phone: 940-464-7222
  • Fax:
Mailing address:
  • Phone: 940-464-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2012008593
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: