MEDICARE: MR. GREGORY T WRIGHT JR. LPC, LCPC, LCAD-S

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	PRC200002435	DC
2	101YM0800X	Mental Health Counselor		MD

General Provider Information

NPI Number	:	1962091553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GREGORY T WRIGHT JR. LPC, LCPC, LCAD-S

Provider Business Mailing Address
First Line	:	6915 LAUREL BOWIE RD STE 204
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-1715
Country	:	US
Telephone Number	:	443-942-2361
Fax Number	:

Provider Business Practice Location Address
First Line	:	6915 LAUREL BOWIE RD STE 204
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-1715
Country	:	US
Telephone Number	:	301-574-7110
Fax Number	:

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

Provider Enumeration Date	:	01/18/2021
Last Update Date	:	12/17/2025

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