Healthcare Provider Details

I. General information

NPI: 1508950536
Provider Name (Legal Business Name): JANET B WRIGHT, MA, MSW, LPC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 W HORSETOOTH RD STE 202
FORT COLLINS CO
80526-5978
US

IV. Provider business mailing address

1015 W HORSETOOTH RD SUITE 202
FORT COLLINS CO
80526-5978
US

V. Phone/Fax

Practice location:
  • Phone: 970-224-2207
  • Fax: 970-484-9454
Mailing address:
  • Phone: 970-224-2207
  • Fax: 970-484-9454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number991960
License Number StateCO

VIII. Authorized Official

Name: MS. JANET B WRIGHT
Title or Position: PRESIDENT
Credential: LCSW
Phone: 970-224-2207