Healthcare Provider Details

I. General information

NPI: 1013842145
Provider Name (Legal Business Name): DONALD WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 E FLAMINGO RD STE 324
LAS VEGAS NV
89121-5067
US

IV. Provider business mailing address

3430 E FLAMINGO RD STE 324
LAS VEGAS NV
89121-5067
US

V. Phone/Fax

Practice location:
  • Phone: 702-389-7937
  • Fax: 702-333-1413
Mailing address:
  • Phone: 702-389-7937
  • Fax: 702-333-1413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number08317-I
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: