Healthcare Provider Details

I. General information

NPI: 1003739863
Provider Name (Legal Business Name): LAURIE MCGHEE WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 BREMO RD STE 101
RICHMOND VA
23226-2442
US

IV. Provider business mailing address

5480 BLACKRIDGE RD
LA CROSSE VA
23950-2503
US

V. Phone/Fax

Practice location:
  • Phone: 804-214-7663
  • Fax:
Mailing address:
  • Phone: 434-774-7947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0704018050
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: