Healthcare Provider Details
I. General information
NPI: 1548986961
Provider Name (Legal Business Name): LUKE M WRIGHT LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/17/2022
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19120 SE 34TH ST STE 201
VANCOUVER WA
98683-1430
US
IV. Provider business mailing address
2220 SE 192ND AVE APT B213
VANCOUVER WA
98683-1404
US
V. Phone/Fax
- Phone: 360-906-1190
- Fax: 360-906-1193
- Phone: 425-343-3533
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MC61276484 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LH61484512 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: