Healthcare Provider Details

I. General information

NPI: 1497673958
Provider Name (Legal Business Name): SHERRELLE BRITTANY WRIGHT LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

15 2ND AVE S
GLEN BURNIE MD
21061-2617
US

IV. Provider business mailing address

15 2ND AVE S
GLEN BURNIE MD
21061-2617
US

V. Phone/Fax

Practice location:
  • Phone: 413-310-8941
  • Fax:
Mailing address:
  • Phone: 413-310-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17968
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: