Healthcare Provider Details

I. General information

NPI: 1942702808
Provider Name (Legal Business Name): WRIGHT PROFESSIONAL COUNSELING, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 W MAPLE RD STE 131
TROY MI
48084-7047
US

IV. Provider business mailing address

26313 WINTON ST
SAINT CLAIR SHORES MI
48081-3883
US

V. Phone/Fax

Practice location:
  • Phone: 586-909-1350
  • Fax:
Mailing address:
  • Phone: 586-909-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAMI WRIGHT
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: PH.D., LPC, SCL
Phone: 586-909-1350