Healthcare Provider Details

I. General information

NPI: 1063765287
Provider Name (Legal Business Name): WRIGHT & ASSOCIATES, INC. CENTER FOR THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HENDERSON BLVD STE 304
TAMPA FL
33629-5021
US

IV. Provider business mailing address

14627 N 43RD ST
TAMPA FL
33613-2917
US

V. Phone/Fax

Practice location:
  • Phone: 813-489-9814
  • Fax:
Mailing address:
  • Phone: 813-489-9814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW9250
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberSW9250
License Number StateFL

VIII. Authorized Official

Name: MRS. KARI ANNE WRIGHT
Title or Position: PRESIDENT / DIRECTOR
Credential: LCSW
Phone: 813-489-9814