MEDICARE: MS. ELIZABETH MICHELE WRIGHT MA, LPC, NCC, LMHC

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	82001	TX
2	101YM0800X	Mental Health Counselor	MHC.LH.61210388	WA

General Provider Information

NPI Number	:	1740819416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH MICHELE WRIGHT MA, LPC, NCC, LMHC

Provider Business Mailing Address
First Line	:	8118 FRY RD, BLDG 2, STE 203
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433
Country	:	US
Telephone Number	:	281-377-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 N ARGONNE RD STE C367
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2545
Country	:	US
Telephone Number	:	509-676-7432
Fax Number	:

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

Provider Enumeration Date	:	04/05/2020
Last Update Date	:	03/14/2024

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