Healthcare Provider Details

I. General information

NPI: 1922403872
Provider Name (Legal Business Name): MICHAEL ALLEN WRIGHT MFT-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 RAND ROAD
RAPID CITY SD
57702
US

IV. Provider business mailing address

1770 RAND RD
RAPID CITY SD
57702-9347
US

V. Phone/Fax

Practice location:
  • Phone: 605-791-1514
  • Fax:
Mailing address:
  • Phone: 605-791-1514
  • Fax: 844-831-2349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: