MEDICARE: MRS. V'LILLIAN WRIGHT LPC

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
1	101YM0800X	Mental Health Counselor	7507	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1316025794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. V'LILLIAN WRIGHT LPC

Provider Business Mailing Address
First Line	:	15419 RIDINGWOOD DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-2337
Country	:	US
Telephone Number	:	281-437-9640
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-1115
Country	:	US
Telephone Number	:	713-594-7290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/09/2007

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