MEDICARE: TENEISHA FRANK WRIGHT

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	8408	LA

General Provider Information

NPI Number	:	1851764757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TENEISHA FRANK WRIGHT

Provider Business Mailing Address
First Line	:	114 STATE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5718
Country	:	US
Telephone Number	:	337-965-1336
Fax Number	:	337-549-5768

Provider Business Practice Location Address
First Line	:	114 STATE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5718
Country	:	US
Telephone Number	:	337-965-1336
Fax Number	:	337-549-5768

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

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	12/12/2025

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Directions to “ TENEISHA FRANK WRIGHT ” Practice Location

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