Healthcare Provider Details

I. General information

NPI: 1356808927
Provider Name (Legal Business Name): WRIGHT CHOICE OF BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 VALLEY FORGE PL NW
ATLANTA GA
30318-1455
US

IV. Provider business mailing address

19 VALLEY FORGE PL NW
ATLANTA GA
30318-1455
US

V. Phone/Fax

Practice location:
  • Phone: 678-558-6799
  • Fax:
Mailing address:
  • Phone: 678-558-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MELINDA CHERIE OKOH
Title or Position: CEO
Credential: BCBA
Phone: 678-558-6799