Provider Demographics
NPI:1003353749
Name:WRIGHT, HECKEISHA
Entity Type:Individual
Prefix:
First Name:HECKEISHA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 S PALM DR APT 506
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4549
Mailing Address - Country:US
Mailing Address - Phone:954-790-9236
Mailing Address - Fax:
Practice Address - Street 1:8103 S PALM DR APT 506
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4549
Practice Address - Country:US
Practice Address - Phone:954-790-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker