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NPI Code Detail

MEDICARE: MISS TIMEKA SHE'REE WRIGHT M.S, LPC, NCC

MEDICARE: MISS TIMEKA SHE'REE WRIGHT M.S, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2001MS
2101YP2500XProfessional Counselor1564LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013390640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TIMEKA SHE'REE WRIGHT M.S, LPC, NCC
Provider Business Mailing Address
First Line : 1115B OPENWOOD ST
Second Line :
City : VICKSBURG
State : MS
Zip : 39183-2533
Country : US
Telephone Number : 601-813-5878
Fax Number : 601-501-1030
Provider Business Practice Location Address
First Line : 645 HIGHWAY 80 E
Second Line :
City : MONROE
State : LA
Zip : 71203-8527
Country : US
Telephone Number : 318-343-8744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 11/13/2018

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