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NPI Code Detail

MEDICARE: MICHAEL DOUGLAS WRIGHT LMHC

MEDICARE: MICHAEL DOUGLAS WRIGHT LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39001833AIN

General Provider Information

NPI Number : 1609939727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DOUGLAS WRIGHT LMHC
Provider Business Mailing Address
First Line : 850 N HARRISON ST
Second Line :
City : WARSAW
State : IN
Zip : 46580-3163
Country : US
Telephone Number : 574-267-7169
Fax Number : 574-269-3995
Provider Business Practice Location Address
First Line : 5233 S 50 E
Second Line :
City : WABASH
State : IN
Zip : 46992-8011
Country : US
Telephone Number : 260-563-1158
Fax Number : 260-563-8176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL DOUGLAS WRIGHT LMHC” Practice Location

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