Provider Demographics
NPI:1922867167
Name:SHIRKEY, DIANA (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:
Last Name:SHIRKEY
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 GAYLE LN
Mailing Address - Street 2:
Mailing Address - City:WEST TAWAKONI
Mailing Address - State:TX
Mailing Address - Zip Code:75474-1200
Mailing Address - Country:US
Mailing Address - Phone:903-441-2079
Mailing Address - Fax:
Practice Address - Street 1:200 PLUM ST
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-2585
Practice Address - Country:US
Practice Address - Phone:903-441-2079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health