Healthcare Provider Details

I. General information

NPI: 1417519893
Provider Name (Legal Business Name): MICHELLE WRIGHT M.S LPCC, SCHOOL PSY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2019
Last Update Date: 07/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11681 VOYAGER PARKWAY SUITE 150
COLORADO SPRINGS CO
80921
US

IV. Provider business mailing address

11681 VOYAGER PARKWAY
COLORADO SPRINGS CO
80921
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-9342
  • Fax:
Mailing address:
  • Phone: 719-260-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberNLC.0109888
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNLC.0109888
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: