Healthcare Provider Details

I. General information

NPI: 1568705366
Provider Name (Legal Business Name): RICHARD WRIGHT LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E SHOW LOW LAKE RD
SHOW LOW AZ
85901-7994
US

IV. Provider business mailing address

105 N 5TH AVE
HOLBROOK AZ
86025-2817
US

V. Phone/Fax

Practice location:
  • Phone: 928-537-2951
  • Fax: 928-537-4841
Mailing address:
  • Phone: 928-524-6701
  • Fax: 928-524-3068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: