MEDICARE: AMANDA MARIE 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	101YM0800X	Mental Health Counselor	8737-226	WI
2	221700000X	Art Therapist	23-416	WI

General Provider Information

NPI Number	:	1922956481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIE WRIGHT

Provider Business Mailing Address
First Line	:	426 E WILSON ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-1634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 S GREELEY ST STE 356
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2024
Country	:	US
Telephone Number	:	630-723-1186
Fax Number	:

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ AMANDA MARIE WRIGHT ” Practice Location

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