Healthcare Provider Details

I. General information

NPI: 1376680900
Provider Name (Legal Business Name): TANESHA ANN WRIGHT MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S JEFFERSON ST STE 200
SPOKANE WA
99204-3143
US

IV. Provider business mailing address

400 S JEFFERSON ST STE 200
SPOKANE WA
99204-3143
US

V. Phone/Fax

Practice location:
  • Phone: 509-768-6852
  • Fax: 509-232-5552
Mailing address:
  • Phone: 509-768-6852
  • Fax: 509-232-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberNA60869216
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMG60348550
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60695380
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberIMF 51863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: