=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982102091
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIAN WRIGHT COUNSELING, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2018
-----------------------------------------------------
Last Update Date | 02/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3253 N BEND RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45239-7610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-446-7040
-----------------------------------------------------
Fax | 513-662-9902
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3253 N BEND RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45239-7610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-446-7040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRIAN WRIGHT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-446-7040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | E.0900156
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------