Healthcare Provider Details

I. General information

NPI: 1477347961
Provider Name (Legal Business Name): ANGELA MARIE WRIGHT SUDCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUST BE

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 VALLEY VIEW PKWY APT 3526
EL DORADO HILLS CA
95762-5581
US

IV. Provider business mailing address

2200 VALLEY VIEW PKWY APT 3526
EL DORADO HILLS CA
95762-5581
US

V. Phone/Fax

Practice location:
  • Phone: 530-409-1176
  • Fax:
Mailing address:
  • Phone: 530-409-1176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17779
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: