Provider Demographics
NPI:1093560435
Name:WRIGHT, AMANDA NEU (LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:NEU
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 E CENTRAL RD APT 123
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3371
Mailing Address - Country:US
Mailing Address - Phone:773-304-7046
Mailing Address - Fax:
Practice Address - Street 1:1501 E CENTRAL RD APT 123
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3371
Practice Address - Country:US
Practice Address - Phone:773-304-7046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178019207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional