Healthcare Provider Details

I. General information

NPI: 1902760234
Provider Name (Legal Business Name): RACHEL ROSEMARY WRIGHT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3171 N MERIDIAN ST
INDIANAPOLIS IN
46208-4784
US

IV. Provider business mailing address

502 W FALL CREEK PARKWAY NORTH DR
INDIANAPOLIS IN
46208-5532
US

V. Phone/Fax

Practice location:
  • Phone: 463-269-1333
  • Fax:
Mailing address:
  • Phone: 317-710-0592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005750A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: