Healthcare Provider Details

I. General information

NPI: 1639841901
Provider Name (Legal Business Name): MICAH WRIGHT LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N PINE ST
FOLEY AL
36535-2150
US

IV. Provider business mailing address

20467 WEST BLVD
SILVERHILL AL
36576-3354
US

V. Phone/Fax

Practice location:
  • Phone: 256-698-0992
  • Fax:
Mailing address:
  • Phone: 256-698-0992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC3918A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: