Healthcare Provider Details

I. General information

NPI: 1699541177
Provider Name (Legal Business Name): WRIGHT TO LEARN LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8433 N BLACK CANYON HWY STE 110
PHOENIX AZ
85021-4859
US

IV. Provider business mailing address

8433 N BLACK CANYON HWY STE 110
PHOENIX AZ
85021-4859
US

V. Phone/Fax

Practice location:
  • Phone: 602-755-3276
  • Fax:
Mailing address:
  • Phone: 602-755-3276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN SHEDRICK
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-755-3276