Provider Demographics
NPI:1669004628
Name:PARRIS-MOORE, KIRA DANIELLE
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:DANIELLE
Last Name:PARRIS-MOORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 CROSSVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6729
Mailing Address - Country:US
Mailing Address - Phone:786-326-7650
Mailing Address - Fax:
Practice Address - Street 1:4000 CENTRE GREEN WAY STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5758
Practice Address - Country:US
Practice Address - Phone:919-897-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist