MEDICARE: SHEENA WRIGHT M.ED.

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1619712239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEENA WRIGHT M.ED.

Provider Business Mailing Address
First Line	:	2317 W FAIRMONT ST APT A
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 E BROAD ST STE 10
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5920
Country	:	US
Telephone Number	:	484-893-0170
Fax Number	:

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

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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