MEDICARE: MRS. MELISSA LYNN WRIGHT MA, LPC

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
1	101YM0800X	Mental Health Counselor		MO
2	101YP2500X	Professional Counselor	2001011585	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790792182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA LYNN WRIGHT MA, LPC

Provider Business Mailing Address
First Line	:	7211 NW 83RD STREET
Second Line	:	SUITE 200
City	:	KANSAS CITY
State	:	MO
Zip	:	64152
Country	:	US
Telephone Number	:	816-399-4204
Fax Number	:	816-841-4804

Provider Business Practice Location Address
First Line	:	7211 NW 83RD STREET
Second Line	:	SUITE 200
City	:	KANSAS CITY
State	:	MO
Zip	:	64152
Country	:	US
Telephone Number	:	816-399-4204
Fax Number	:	816-841-4804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/11/2011

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