Provider Demographics
NPI:1588466890
Name:PERKINS, ALISHA SHAUNA
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:SHAUNA
Last Name:PERKINS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 MARTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27249-8745
Mailing Address - Country:US
Mailing Address - Phone:336-558-1556
Mailing Address - Fax:
Practice Address - Street 1:306 MARTINGALE DR
Practice Address - Street 2:
Practice Address - City:GIBSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27249-8745
Practice Address - Country:US
Practice Address - Phone:336-558-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health