Provider Demographics
NPI:1043239858
Name:WRIGHT, MARGARET (PEGGY) REGAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET (PEGGY)
Middle Name:REGAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:THERESE
Other - Last Name:REGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5221 N PARK RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2664
Mailing Address - Country:US
Mailing Address - Phone:903-791-1051
Mailing Address - Fax:903-791-1054
Practice Address - Street 1:5221 N PARK RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2664
Practice Address - Country:US
Practice Address - Phone:903-791-1051
Practice Address - Fax:903-791-1054
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional