Healthcare Provider Details

I. General information

NPI: 1235057951
Provider Name (Legal Business Name): KATLYN WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 GOLFVIEW AVE
BARTOW FL
33830-6738
US

IV. Provider business mailing address

1260 GOLFVIEW AVE
BARTOW FL
33830-6738
US

V. Phone/Fax

Practice location:
  • Phone: 863-519-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: