Healthcare Provider Details

I. General information

NPI: 1629901483
Provider Name (Legal Business Name): MARY KATHERINE WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 E BROADWAY ST
MT PLEASANT MI
48858-2647
US

IV. Provider business mailing address

215 N ROBINSON ST
PERRINTON MI
48871-9702
US

V. Phone/Fax

Practice location:
  • Phone: 989-613-7800
  • Fax:
Mailing address:
  • Phone: 989-613-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024983
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: