Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley W Southard

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083651376

Shirley W Southard is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1650 Greenfield St
Wilmington, NC 28401-6456
Phone: (910) 798-3500
Fax: (910) 798-7834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11871 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 853 (NC)

Record details

NPI number1083651376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

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